Revision open av fistula without thromb 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

$7,291.20

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.

$18,228.00

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.

$2,393.14 with Molina vs $22,871.93 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 →

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 $2,393.14 ↓ -67%
WellPoint Apple Health $2,416.60 ↓ -67%
Coordinated Care Apple Health $2,416.60 ↓ -67%
United Healthcare Apple Health $2,463.52 ↓ -66%
Community Health Plan of Washington Apple Health $2,533.91 ↓ -65%
Aetna MedAdvantage $6,259.04 ↓ -14%
Blue Cross of Idaho MedAdvantage $6,259.04 ↓ -14%
Regence MedAdvantage $6,259.04 ↓ -14%
United Healthcare MedAdvantage $6,319.81 ↓ -13%
Molina MedAdvantage $6,380.58 ↓ -12%
WellCare MedAdvantage $6,380.58 ↓ -12%
Community Health Plan of Washington MedAdvantage $6,684.41 ↓ -8%
First Choice MHS Employee MCC/PPO $6,771.70 ↓ -7%
First Choice MCC Wellfound Employee $8,816.88 ↑ +21%
Premera HMO $9,085.03 ↑ +25%
Community Health Plan of Washington Cascade Care $10,245.38 ↑ +41%
Ambetter Coordinated Care Exchange $11,241.97 ↑ +54%
First Choice PPO $12,777.83 ↑ +75%
Multiplan/PHCS All Commercial Plans $13,124.16 ↑ +80%
First Health All Commercial Plans $13,124.16 ↑ +80%
Premera Signature $14,540.76 ↑ +99%
Premera Prime $14,540.76 ↑ +99%
Premera Other Commercial Plans $14,540.76 ↑ +99%
Regence/Asuris Commercial $14,860.06 ↑ +104%
United Healthcare Commercial $17,266.15 ↑ +137%
Cigna Commercial $17,476.97 ↑ +140%
Aetna All Commercial Plans $20,205.68 ↑ +177%
Kaiser PPO $22,871.93 ↑ +214%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Revision open av fistula without thromb at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $11,996.00 not published
Kadlec Regional Medical Center Richland $15,318.80 $1,274.78 – $17,051.86
Providence Regional Medical Center Everett - Colby Campus Everett $8,758.88 $6,336.85 – $17,419.56
MultiCare Yakima Memorial Hospital Yakima $8,858.00 $6,638.35 – $17,103.54
St. Michael Medical Center Silverdale $4,624.86 $6,601.72 – $24,223.69
St. Anne Hospital Burien $3,199.80 $4,505.94 – $9,431.03
St. Anthony Hospital Gig Harbor $3,187.15 $7,544.83 – $13,984.77
MultiCare Auburn Medical Center Auburn $9,300.80 $2,447.85 – $26,710.80

All Washington hospitals for this procedure →