Nusinersen (pf) 12 mg/5 ml intrathecal 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.

$1,297.87 with Aetna vs $5,210.06 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.

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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
Aetna MedAdvantage $1,297.87
Blue Cross of Idaho MedAdvantage $1,297.87
Regence MedAdvantage $1,297.87
United Healthcare MedAdvantage $1,310.47
WellCare MedAdvantage $1,323.07
Molina MedAdvantage $1,323.07
Community Health Plan of Washington MedAdvantage $1,386.07
Cigna Commercial $1,745.79
Premera HMO $1,791.37
Regence/Asuris Commercial $1,816.89
Community Health Plan of Washington Cascade Care $2,124.47
Ambetter Coordinated Care Exchange $2,331.12
Premera Other Commercial Plans $2,636.72
Premera Prime $2,636.72
Premera Signature $2,636.72
Kaiser PPO $5,210.06

Visitor-reported prices

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Nusinersen (pf) 12 mg/5 ml intrathecal solution at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $378,000.00 $1,211.26 – $3,098.13
Providence Sacred Heart Medical Center and Children's Hospital Spokane $551,250.00 $914.06 – $2,581.78
Swedish Medical Center Cherry Hill Seattle $378,000.00 $1,211.26 – $2,378.70
Swedish Issaquah Issaquah $378,000.00 $1,211.26 – $3,098.13
Swedish Edmonds Hospital Edmonds $378,000.00 $1,221.34 – $2,413.40
Providence Holy Family Hospital Spokane $551,250.00 $1,171.87 – $2,414.64
Central Medical Center Seattle not published $1,246.94 – $1,246.94
Providence Centralia Hospital Centralia not published $1,211.26 – $3,244.06

All Washington hospitals for this procedure →