Ketogenic steroids fract 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

not published by hospital

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.

not published by hospital

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$8.53 with Molina vs $28.05 with Ambetter — 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 $8.53
WellPoint Apple Health $8.62
Coordinated Care Apple Health $8.62
United Healthcare Apple Health $8.78
Community Health Plan of Washington Apple Health $9.04
Premera HMO $15.47
Regence MedAdvantage $15.62
Blue Cross of Idaho MedAdvantage $15.62
Aetna MedAdvantage $15.62
United Healthcare MedAdvantage $15.77
Molina MedAdvantage $15.92
WellCare MedAdvantage $15.92
Community Health Plan of Washington MedAdvantage $16.68
Kaiser PPO $17.02
Regence/Asuris Commercial $17.79
Cigna Commercial $18.56
Aetna All Commercial Plans $19.18
Premera Prime $19.34
Premera Signature $19.34
Premera Other Commercial Plans $19.34
Community Health Plan of Washington Cascade Care $25.56
Ambetter Coordinated Care Exchange $28.05

Visitor-reported prices

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Ketogenic steroids fract at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $68.80 $12.00 – $12.00
MultiCare Yakima Memorial Hospital Yakima $29.60 $16.01 – $27.77
Virginia Mason Medical Center Seattle $40.29 $10.83 – $48.35
Providence St Luke's Rehabilitation Medical Center Spokane not published $15.47 – $17.02
Swedish Medical Center - First Hill Campus Seattle not published $13.92 – $72.71
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $15.47 – $55.69
Swedish Medical Center Cherry Hill Seattle not published $13.92 – $70.39
Swedish Issaquah Issaquah not published $13.92 – $72.71

All Washington hospitals for this procedure →