Mayo thiopurine s-methyltransferase 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

$23.60

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.

Full explanation →

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

$59.00

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 $42.48 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 ↓ -65%
Coordinated Care Apple Health $8.33 ↓ -65%
WellPoint Apple Health $8.33 ↓ -65%
United Healthcare Apple Health $8.49 ↓ -64%
Community Health Plan of Washington Apple Health $8.73 ↓ -63%
First Choice MHS Employee MCC/PPO $21.92 ↓ -7%
Premera HMO $22.17 ↓ -6%
Aetna MedAdvantage $22.38 ↓ -5%
Regence MedAdvantage $22.38 ↓ -5%
Blue Cross of Idaho MedAdvantage $22.38 ↓ -5%
United Healthcare MedAdvantage $22.60 ↓ -4%
Molina MedAdvantage $22.81 ↓ -3%
WellCare MedAdvantage $22.81 ↓ -3%
Community Health Plan of Washington MedAdvantage $23.90 ↑ +1%
Kaiser PPO $24.39 ↑ +3%
Regence/Asuris Commercial $25.50 ↑ +8%
United Healthcare Commercial $26.60 ↑ +13%
Cigna Commercial $26.60 ↑ +13%
Aetna All Commercial Plans $27.49 ↑ +16%
Premera Other Commercial Plans $27.71 ↑ +17%
Premera Signature $27.71 ↑ +17%
Premera Prime $27.71 ↑ +17%
First Choice MCC Wellfound Employee $28.54 ↑ +21%
Community Health Plan of Washington Cascade Care $36.63 ↑ +55%
Ambetter Coordinated Care Exchange $40.19 ↑ +70%
First Choice PPO $41.36 ↑ +75%
First Health All Commercial Plans $42.48 ↑ +80%
Multiplan/PHCS All Commercial Plans $42.48 ↑ +80%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Mayo thiopurine s-methyltransferase at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $90.72 $19.95 – $67.35
Swedish Medical Center Cherry Hill Seattle $90.72 $19.95 – $51.88
Swedish Issaquah Issaquah $90.72 $19.95 – $49.22
Swedish Edmonds Hospital Edmonds $389.76 $22.17 – $43.23
Providence St Mary Medical Center Walla Walla $194.60 $22.17 – $41.01
Kadlec Regional Medical Center Richland $111.30 $22.17 – $41.01
Providence Regional Medical Center Everett - Colby Campus Everett $231.40 $22.17 – $51.43
MultiCare Yakima Memorial Hospital Yakima $49.60 $22.95 – $39.79

All Washington hospitals for this procedure →