Sargramostim injection 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

not published by hospital

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.

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What you pay up front if you don't use insurance.

not published by hospital

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.

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The hospital's undiscounted list price — almost no one pays this.

$62.47 with Blue Cross of Idaho vs $258.16 with Community Health Plan of Washington — 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.

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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.

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Negotiated rate vs. cash
Blue Cross of Idaho MedAdvantage $62.47
Regence MedAdvantage $62.47
Aetna MedAdvantage $62.47
United Healthcare MedAdvantage $63.08
Molina MedAdvantage $63.68
WellCare MedAdvantage $63.68
Community Health Plan of Washington MedAdvantage $66.72
Cigna Commercial $84.03
Regence/Asuris Commercial $90.00
Premera HMO $90.40
Community Health Plan of Washington Cascade Care $102.26
Ambetter Coordinated Care Exchange $112.20
Premera Signature $133.46
Premera Prime $133.46
Premera Other Commercial Plans $133.46
Aetna All Commercial Plans $237.67
Molina Apple Health $243.82
Coordinated Care Apple Health $246.21
WellPoint Apple Health $246.21
United Healthcare Apple Health $250.99
Kaiser PPO $254.01
Community Health Plan of Washington Apple Health $258.16

Visitor-reported prices

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Sargramostim injection at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Regional Medical Center Everett - Colby Campus Everett $708.27 $50.42 – $144.61
Providence St Peter Hospital Olympia $1,138.50 $52.60 – $202.06
MultiCare Allenmore Hospital Tacoma $187.39 $60.65 – $275.68
Providence St Luke's Rehabilitation Medical Center Spokane not published $61.89 – $68.08
Swedish Medical Center - First Hill Campus Seattle not published $60.00 – $132.82
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $46.27 – $114.49
Swedish Medical Center Cherry Hill Seattle not published $60.00 – $114.49
Swedish Issaquah Issaquah not published $60.00 – $132.82

All Washington hospitals for this procedure →