Removal of breast lesion at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$5,534.00
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.
$13,835.00
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.
$949.09 with Molina vs $15,298.21 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 | $949.09 | ↓ -83% |
| WellPoint | Apple Health | $958.40 | ↓ -83% |
| Coordinated Care | Apple Health | $958.40 | ↓ -83% |
| United Healthcare | Apple Health | $977.01 | ↓ -82% |
| Community Health Plan of Washington | Apple Health | $1,004.92 | ↓ -82% |
| Aetna | MedAdvantage | $4,404.16 | ↓ -20% |
| Blue Cross of Idaho | MedAdvantage | $4,404.16 | ↓ -20% |
| Regence | MedAdvantage | $4,404.16 | ↓ -20% |
| United Healthcare | MedAdvantage | $4,446.91 | ↓ -20% |
| Molina | MedAdvantage | $4,489.67 | ↓ -19% |
| WellCare | MedAdvantage | $4,489.67 | ↓ -19% |
| Community Health Plan of Washington | MedAdvantage | $4,703.47 | ↓ -15% |
| First Choice | MHS Employee MCC/PPO | $5,139.70 | ↓ -7% |
| Premera | HMO | $5,696.86 | ↑ +3% |
| First Choice | MCC Wellfound Employee | $6,691.99 | ↑ +21% |
| Community Health Plan of Washington | Cascade Care | $7,209.13 | ↑ +30% |
| Ambetter | Coordinated Care Exchange | $7,910.38 | ↑ +43% |
| First Choice | PPO | $9,698.34 | ↑ +75% |
| Multiplan/PHCS | All Commercial Plans | $9,961.20 | ↑ +80% |
| First Health | All Commercial Plans | $9,961.20 | ↑ +80% |
| Premera | Signature | $10,085.90 | ↑ +82% |
| Premera | Prime | $10,085.90 | ↑ +82% |
| Premera | Other Commercial Plans | $10,085.90 | ↑ +82% |
| Regence/Asuris | Commercial | $10,307.38 | ↑ +86% |
| United Healthcare | Commercial | $12,149.28 | ↑ +120% |
| Cigna | Commercial | $12,297.62 | ↑ +122% |
| Aetna | All Commercial Plans | $14,313.27 | ↑ +159% |
| Kaiser | PPO | $15,298.21 | ↑ +176% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Removal of breast lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $8,940.48 | $4,534.03 – $14,753.91 |
| Swedish Medical Center Cherry Hill | Seattle | $8,940.48 | $4,534.03 – $14,208.59 |
| Swedish Issaquah | Issaquah | $8,940.48 | $4,546.75 – $14,753.91 |
| Central Medical Center | Seattle | $8,320.80 | not published |
| MultiCare Auburn Medical Center | Auburn | $5,538.80 | $970.79 – $18,794.97 |
| MultiCare Good Samaritan Hospital | Puyallup | $5,538.80 | $993.24 – $18,794.97 |
| Virginia Mason Medical Center | Seattle | $5,216.79 | $15.32 – $1,849.21 |
| MultiCare Capital Medical Center | Olympia | $5,538.80 | $1,044.73 – $20,257.40 |