Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution 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.

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

$203.65 with Blue Cross of Idaho vs $20,497.30 with Community Health Plan of Washington — 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
Blue Cross of Idaho MedAdvantage $203.65
Regence MedAdvantage $203.65
Aetna MedAdvantage $203.65
United Healthcare MedAdvantage $205.63
Molina MedAdvantage $207.61
WellCare MedAdvantage $207.61
Community Health Plan of Washington MedAdvantage $217.49
Cigna Commercial $271.40
Regence/Asuris Commercial $285.75
Premera HMO $288.61
Community Health Plan of Washington Cascade Care $333.36
Ambetter Coordinated Care Exchange $365.78
Premera Prime $421.09
Premera Signature $421.09
Premera Other Commercial Plans $421.09
Aetna All Commercial Plans $668.83
Kaiser PPO $802.51
Molina Apple Health $19,358.56
WellPoint Apple Health $19,548.35
Coordinated Care Apple Health $19,548.35
United Healthcare Apple Health $19,927.93
Community Health Plan of Washington Apple Health $20,497.30

Visitor-reported prices

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Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Mary Medical Center Walla Walla $133,193.38 $190.50 – $1,346.24
St. Michael Medical Center Silverdale $75,410.49 $53,822.16 – $76,888.80
St. Anne Hospital Burien $52,174.27 $36,735.76 – $76,888.80
St. Anthony Hospital Gig Harbor $51,968.06 $42,716.00 – $64,074.00
St. Joseph Medical Center Tacoma $56,589.73 $42,716.00 – $64,074.00
St. Elizabeth Hospital Enumclaw $60,377.25 $14,523.44 – $76,888.80
St. Francis Hospital Federal Way $53,621.07 $42,716.00 – $64,074.00
St. Clare Hospital Lakewood $49,249.99 $42,716.00 – $64,074.00

All Washington hospitals for this procedure →