Rmvl perm pm pulse gen at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$14,272.80
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.
$35,682.00
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.
$4,742.43 with Molina vs $36,324.33 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 | $4,742.43 | ↓ -67% |
| Coordinated Care | Apple Health | $4,788.93 | ↓ -66% |
| WellPoint | Apple Health | $4,788.93 | ↓ -66% |
| United Healthcare | Apple Health | $4,881.92 | ↓ -66% |
| Community Health Plan of Washington | Apple Health | $5,021.40 | ↓ -65% |
| Regence | MedAdvantage | $9,308.32 | ↓ -35% |
| Blue Cross of Idaho | MedAdvantage | $9,308.32 | ↓ -35% |
| Aetna | MedAdvantage | $9,308.32 | ↓ -35% |
| United Healthcare | MedAdvantage | $9,398.69 | ↓ -34% |
| Molina | MedAdvantage | $9,489.06 | ↓ -34% |
| WellCare | MedAdvantage | $9,489.06 | ↓ -34% |
| Community Health Plan of Washington | MedAdvantage | $9,940.92 | ↓ -30% |
| First Choice | MHS Employee MCC/PPO | $13,255.86 | ↓ -7% |
| Premera | HMO | $14,428.51 | ↑ +1% |
| Community Health Plan of Washington | Cascade Care | $15,236.72 | ↑ +7% |
| Ambetter | Coordinated Care Exchange | $16,718.82 | ↑ +17% |
| First Choice | MCC Wellfound Employee | $17,259.38 | ↑ +21% |
| Premera | Signature | $22,479.66 | ↑ +58% |
| Premera | Other Commercial Plans | $22,479.66 | ↑ +58% |
| Premera | Prime | $22,479.66 | ↑ +58% |
| Regence/Asuris | Commercial | $22,973.31 | ↑ +61% |
| First Choice | PPO | $25,013.08 | ↑ +75% |
| United Healthcare | Commercial | $25,677.87 | ↑ +80% |
| Multiplan/PHCS | All Commercial Plans | $25,691.04 | ↑ +80% |
| First Health | All Commercial Plans | $25,691.04 | ↑ +80% |
| Cigna | Commercial | $25,991.40 | ↑ +82% |
| Aetna | All Commercial Plans | $30,934.34 | ↑ +117% |
| Kaiser | PPO | $36,324.33 | ↑ +155% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl perm pm pulse gen at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $26,473.44 | $7,277.00 – $37,215.81 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $4,540.20 | $8,066.00 – $23,689.74 |
| Swedish Medical Center Cherry Hill | Seattle | $26,473.44 | $7,277.00 – $35,840.28 |
| Swedish Issaquah | Issaquah | $26,473.44 | $7,277.00 – $37,215.81 |
| Central Medical Center | Seattle | $20,231.20 | not published |
| Providence St Mary Medical Center | Walla Walla | $2,741.90 | $7,527.99 – $17,060.02 |
| Kadlec Regional Medical Center | Richland | $9,568.30 | $397.59 – $28,351.26 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $7,673.12 | $6,914.00 – $28,962.61 |