Pyruvate kinase 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

$24.00

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.

$60.00

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.

$3.31 with Molina vs $43.20 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 $3.31 ↓ -86%
Coordinated Care Apple Health $3.34 ↓ -86%
WellPoint Apple Health $3.34 ↓ -86%
United Healthcare Apple Health $3.41 ↓ -86%
Community Health Plan of Washington Apple Health $3.51 ↓ -85%
Premera HMO $9.44 ↓ -61%
Blue Cross of Idaho MedAdvantage $9.53 ↓ -60%
Aetna MedAdvantage $9.53 ↓ -60%
Regence MedAdvantage $9.53 ↓ -60%
United Healthcare MedAdvantage $9.62 ↓ -60%
WellCare MedAdvantage $9.71 ↓ -60%
Molina MedAdvantage $9.71 ↓ -60%
Community Health Plan of Washington MedAdvantage $10.18 ↓ -58%
Kaiser PPO $10.38 ↓ -57%
Regence/Asuris Commercial $10.86 ↓ -55%
United Healthcare Commercial $11.33 ↓ -53%
Cigna Commercial $11.33 ↓ -53%
Aetna All Commercial Plans $11.71 ↓ -51%
Premera Other Commercial Plans $11.80 ↓ -51%
Premera Signature $11.80 ↓ -51%
Premera Prime $11.80 ↓ -51%
Community Health Plan of Washington Cascade Care $15.60 ↓ -35%
Ambetter Coordinated Care Exchange $17.11 ↓ -29%
First Choice MHS Employee MCC/PPO $22.29 ↓ -7%
First Choice MCC Wellfound Employee $29.02 ↑ +21%
First Choice PPO $42.06 ↑ +75%
First Health All Commercial Plans $43.20 ↑ +80%
Multiplan/PHCS All Commercial Plans $43.20 ↑ +80%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Pyruvate kinase at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $41.76 $8.50 – $44.37
Swedish Medical Center Cherry Hill Seattle $41.76 $8.50 – $42.95
Swedish Issaquah Issaquah $41.76 $8.50 – $44.37
Central Medical Center Seattle $42.40 $7.00 – $7.00
Providence St Mary Medical Center Walla Walla $85.40 $9.44 – $17.46
Kadlec Regional Medical Center Richland $117.60 $9.44 – $36.91
MultiCare Yakima Memorial Hospital Yakima $18.00 $9.77 – $16.94
MultiCare Auburn Medical Center Auburn $23.60 $3.39 – $18.50

All Washington hospitals for this procedure →