Insitu hybridization (fish) at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$458.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,147.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$27.41 with Molina vs $1,442.29 with Kaiser — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Molina | Apple Health | $27.41 | ↓ -94% |
| WellPoint | Apple Health | $27.68 | ↓ -94% |
| Coordinated Care | Apple Health | $27.68 | ↓ -94% |
| United Healthcare | Apple Health | $28.22 | ↓ -94% |
| Community Health Plan of Washington | Apple Health | $29.03 | ↓ -94% |
| Aetna | MedAdvantage | $191.64 | ↓ -58% |
| Regence | MedAdvantage | $191.64 | ↓ -58% |
| Blue Cross of Idaho | MedAdvantage | $191.64 | ↓ -58% |
| United Healthcare | MedAdvantage | $193.50 | ↓ -58% |
| Molina | MedAdvantage | $195.36 | ↓ -57% |
| WellCare | MedAdvantage | $195.36 | ↓ -57% |
| Community Health Plan of Washington | MedAdvantage | $204.66 | ↓ -55% |
| Premera | HMO | $277.96 | ↓ -39% |
| Community Health Plan of Washington | Cascade Care | $313.69 | ↓ -32% |
| Ambetter | Coordinated Care Exchange | $344.20 | ↓ -25% |
| First Choice | MHS Employee MCC/PPO | $426.11 | ↓ -7% |
| Premera | Signature | $451.95 | ↓ -1% |
| Premera | Other Commercial Plans | $451.95 | ↓ -1% |
| Premera | Prime | $451.95 | ↓ -1% |
| Regence/Asuris | Commercial | $461.87 | ↑ +1% |
| United Healthcare | Commercial | $528.65 | ↑ +15% |
| Cigna | Commercial | $535.11 | ↑ +17% |
| First Choice | MCC Wellfound Employee | $554.80 | ↑ +21% |
| Aetna | All Commercial Plans | $640.54 | ↑ +40% |
| First Choice | PPO | $804.05 | ↑ +75% |
| Multiplan/PHCS | All Commercial Plans | $825.84 | ↑ +80% |
| First Health | All Commercial Plans | $825.84 | ↑ +80% |
| Kaiser | PPO | $1,442.29 | ↑ +214% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Insitu hybridization (fish) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $1,343.20 | $1,039.00 – $1,039.00 |
| Swedish Edmonds Hospital | Edmonds | $680.16 | $194.02 – $1,275.35 |
| Providence St Mary Medical Center | Walla Walla | $304.50 | $151.35 – $351.22 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $297.44 | $194.02 – $1,190.32 |
| St. Michael Medical Center | Silverdale | $451.88 | $526.96 – $1,527.53 |
| St. Anne Hospital | Burien | $312.64 | $297.73 – $921.47 |
| St. Anthony Hospital | Gig Harbor | $311.41 | $297.73 – $881.87 |
| St. Joseph Medical Center | Tacoma | $339.10 | $297.73 – $881.87 |