Leuprolide 30 mg (4 month) intramuscular syringe kit 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.

$177.86 with Blue Cross of Idaho vs $767.89 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 →

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
Blue Cross of Idaho MedAdvantage $177.86
Aetna MedAdvantage $177.86
Regence MedAdvantage $177.86
United Healthcare MedAdvantage $179.58
Molina MedAdvantage $181.31
WellCare MedAdvantage $181.31
Community Health Plan of Washington MedAdvantage $189.94
Cigna Commercial $253.11
Regence/Asuris Commercial $270.81
Community Health Plan of Washington Cascade Care $291.13
Premera HMO $301.33
Ambetter Coordinated Care Exchange $319.45
Molina Apple Health $391.50
WellPoint Apple Health $395.34
Coordinated Care Apple Health $395.34
United Healthcare Apple Health $403.02
Premera Other Commercial Plans $407.93
Premera Prime $407.93
Premera Signature $407.93
Community Health Plan of Washington Apple Health $414.53
Aetna All Commercial Plans $715.94
Kaiser PPO $767.89

Visitor-reported prices

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Leuprolide 30 mg (4 month) intramuscular syringe kit at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $3,020.61 $176.20 – $619.49
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,555.59 $141.42 – $516.24
Swedish Medical Center Cherry Hill Seattle $3,020.61 $176.20 – $448.90
Swedish Issaquah Issaquah $3,020.61 $176.20 – $619.49
Central Medical Center Seattle $8,456.16 $155.42 – $155.42
Providence Centralia Hospital Centralia $344.46 $176.20 – $1,263.13
Providence Mount Carmel Hospital Colville $1,425.19 not published
Swedish Edmonds Hospital Edmonds $3,020.61 $176.20 – $482.57

All Washington hospitals for this procedure →