Irrigation implantable venous access device for drug delivery systems at MultiCare Valley Hospital

12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251

Source: hospital's published price file ↗ · Published Aug 27, 2026 · Ingested Sep 17, 2026

$125.60

Cash price

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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.

$314.00

Gross charge

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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.

$29.97 with Molina vs $255.79 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.

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Payer
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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
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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 $29.97 ↓ -76%
Coordinated Care Apple Health $30.26 ↓ -76%
WellPoint Apple Health $30.26 ↓ -76%
United Healthcare Apple Health $30.85 ↓ -75%
Community Health Plan of Washington Apple Health $31.73 ↓ -75%
Regence MedAdvantage $66.36 ↓ -47%
Blue Cross of Idaho MedAdvantage $66.36 ↓ -47%
Aetna MedAdvantage $66.36 ↓ -47%
United Healthcare MedAdvantage $67.00 ↓ -47%
Molina MedAdvantage $67.64 ↓ -46%
WellCare MedAdvantage $67.64 ↓ -46%
Community Health Plan of Washington MedAdvantage $70.87 ↓ -44%
Premera HMO $101.60 ↓ -19%
Community Health Plan of Washington Cascade Care $108.62 ↓ -14%
First Choice MHS Employee MCC/PPO $116.65 ↓ -7%
Ambetter Coordinated Care Exchange $119.18 ↓ -5%
First Choice MCC Wellfound Employee $151.88 ↑ +21%
Premera Signature $161.84 ↑ +29%
Premera Other Commercial Plans $161.84 ↑ +29%
Premera Prime $161.84 ↑ +29%
Regence/Asuris Commercial $165.40 ↑ +32%
United Healthcare Commercial $183.05 ↑ +46%
Cigna Commercial $185.28 ↑ +48%
First Choice PPO $220.11 ↑ +75%
Aetna All Commercial Plans $222.01 ↑ +77%
Multiplan/PHCS All Commercial Plans $226.08 ↑ +80%
First Health All Commercial Plans $226.08 ↑ +80%
Kaiser PPO $255.79 ↑ +104%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Irrigation implantable venous access device for drug delivery systems at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $110.60 not published
Swedish Medical Center - First Hill Campus Seattle $312.96 $68.31 – $258.55
Providence Sacred Heart Medical Center and Children's Hospital Spokane $307.30 $65.74 – $198.04
Swedish Medical Center Cherry Hill Seattle $312.96 $68.31 – $250.30
Swedish Issaquah Issaquah $312.96 $68.50 – $258.55
Providence Centralia Hospital Centralia $213.72 $68.31 – $342.71
Providence Mount Carmel Hospital Colville $293.30 not published
Providence St Mary Medical Center Walla Walla $182.70 $54.20 – $121.61

All Washington hospitals for this procedure →