Ot evaluation high complexity patient/family at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$216.40
Cash price 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.
$541.00
Gross charge 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.
$60.30 with Molina vs $452.43 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 →
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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 ?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 ?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 | $60.30 | ↓ -72% |
| Coordinated Care | Apple Health | $60.89 | ↓ -72% |
| WellPoint | Apple Health | $60.89 | ↓ -72% |
| United Healthcare | Apple Health | $62.08 | ↓ -71% |
| Community Health Plan of Washington | Apple Health | $63.85 | ↓ -70% |
| United Healthcare | Commercial | $91.58 | ↓ -58% |
| Regence | MedAdvantage | $104.68 | ↓ -52% |
| Aetna | MedAdvantage | $104.68 | ↓ -52% |
| Blue Cross of Idaho | MedAdvantage | $104.68 | ↓ -52% |
| United Healthcare | MedAdvantage | $105.70 | ↓ -51% |
| Molina | MedAdvantage | $106.72 | ↓ -51% |
| WellCare | MedAdvantage | $106.72 | ↓ -51% |
| Community Health Plan of Washington | MedAdvantage | $111.80 | ↓ -48% |
| Premera | Prime | $126.94 | ↓ -41% |
| Premera | Other Commercial Plans | $126.94 | ↓ -41% |
| Premera | Signature | $126.94 | ↓ -41% |
| Cigna | Commercial | $158.82 | ↓ -27% |
| Premera | HMO | $164.50 | ↓ -24% |
| Community Health Plan of Washington | Cascade Care | $171.36 | ↓ -21% |
| Regence/Asuris | Commercial | $182.14 | ↓ -16% |
| Ambetter | Coordinated Care Exchange | $188.03 | ↓ -13% |
| First Choice | MHS Employee MCC/PPO | $200.98 | ↓ -7% |
| Aetna | All Commercial Plans | $249.94 | ↑ +15% |
| First Choice | MCC Wellfound Employee | $261.68 | ↑ +21% |
| First Choice | PPO | $379.24 | ↑ +75% |
| Multiplan/PHCS | All Commercial Plans | $389.52 | ↑ +80% |
| First Health | All Commercial Plans | $389.52 | ↑ +80% |
| Kaiser | PPO | $452.43 | ↑ +109% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $307.97 | $103.71 – $114.08 |
| Providence St Joseph Hospital | Chewelah | $193.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $334.08 | $82.97 – $315.07 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $382.90 | $103.71 – $263.94 |
| Swedish Medical Center Cherry Hill | Seattle | $334.08 | $82.97 – $278.25 |
| Swedish Issaquah | Issaquah | $334.08 | $82.97 – $230.24 |
| Central Medical Center | Seattle | $396.00 | not published |
| Providence Centralia Hospital | Centralia | $233.48 | $103.71 – $215.18 |