Mayo carnitine total and free quantitative each specimen plasma 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

$48.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$120.00

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.

Full explanation →

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

$8.25 with Molina vs $86.40 with Multiplan/PHCS — 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
Molina Apple Health $8.25 ↓ -83%
Coordinated Care Apple Health $8.33 ↓ -83%
WellPoint Apple Health $8.33 ↓ -83%
United Healthcare Apple Health $8.49 ↓ -82%
Community Health Plan of Washington Apple Health $8.73 ↓ -82%
Premera HMO $16.87 ↓ -65%
Blue Cross of Idaho MedAdvantage $17.03 ↓ -65%
Aetna MedAdvantage $17.03 ↓ -65%
Regence MedAdvantage $17.03 ↓ -65%
United Healthcare MedAdvantage $17.19 ↓ -64%
WellCare MedAdvantage $17.36 ↓ -64%
Molina MedAdvantage $17.36 ↓ -64%
Community Health Plan of Washington MedAdvantage $18.19 ↓ -62%
Kaiser PPO $18.56 ↓ -61%
Regence/Asuris Commercial $19.40 ↓ -60%
United Healthcare Commercial $20.24 ↓ -58%
Cigna Commercial $20.24 ↓ -58%
Aetna All Commercial Plans $20.92 ↓ -56%
Premera Other Commercial Plans $21.09 ↓ -56%
Premera Signature $21.09 ↓ -56%
Premera Prime $21.09 ↓ -56%
Community Health Plan of Washington Cascade Care $27.87 ↓ -42%
Ambetter Coordinated Care Exchange $30.59 ↓ -36%
First Choice MHS Employee MCC/PPO $44.58 ↓ -7%
First Choice MCC Wellfound Employee $58.04 ↑ +21%
First Choice PPO $84.12 ↑ +75%
First Health All Commercial Plans $86.40 ↑ +80%
Multiplan/PHCS All Commercial Plans $86.40 ↑ +80%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Mayo carnitine total and free quantitative each specimen plasma at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $130.20 not published
Swedish Medical Center - First Hill Campus Seattle $39.36 $15.18 – $79.29
Providence Sacred Heart Medical Center and Children's Hospital Spokane $258.30 $16.87 – $60.73
Swedish Medical Center Cherry Hill Seattle $39.36 $15.18 – $76.76
Swedish Issaquah Issaquah $39.36 $15.18 – $79.29
Central Medical Center Seattle $76.00 $13.00 – $13.00
Providence Centralia Hospital Centralia $92.56 $16.87 – $105.10
Providence Mount Carmel Hospital Colville $136.50 not published

All Washington hospitals for this procedure →