Special physics consult at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$174.40
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.
$436.00
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.
$79.72 with Molina vs $593.54 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 | $79.72 | ↓ -54% |
| WellPoint | Apple Health | $80.50 | ↓ -54% |
| Coordinated Care | Apple Health | $80.50 | ↓ -54% |
| United Healthcare | Apple Health | $82.06 | ↓ -53% |
| Community Health Plan of Washington | Apple Health | $84.41 | ↓ -52% |
| Aetna | MedAdvantage | $151.19 | ↓ -13% |
| Blue Cross of Idaho | MedAdvantage | $151.19 | ↓ -13% |
| Regence | MedAdvantage | $151.19 | ↓ -13% |
| United Healthcare | MedAdvantage | $152.65 | ↓ -12% |
| Molina | MedAdvantage | $154.12 | ↓ -12% |
| WellCare | MedAdvantage | $154.12 | ↓ -12% |
| Community Health Plan of Washington | MedAdvantage | $161.46 | ↓ -7% |
| First Choice | MHS Employee MCC/PPO | $161.97 | ↓ -7% |
| First Choice | MCC Wellfound Employee | $210.89 | ↑ +21% |
| Premera | HMO | $235.75 | ↑ +35% |
| Community Health Plan of Washington | Cascade Care | $247.47 | ↑ +42% |
| Ambetter | Coordinated Care Exchange | $271.55 | ↑ +56% |
| First Choice | PPO | $305.64 | ↑ +75% |
| Multiplan/PHCS | All Commercial Plans | $313.92 | ↑ +80% |
| First Health | All Commercial Plans | $313.92 | ↑ +80% |
| Premera | Signature | $359.03 | ↑ +106% |
| Premera | Prime | $359.03 | ↑ +106% |
| Premera | Other Commercial Plans | $359.03 | ↑ +106% |
| Regence/Asuris | Commercial | $366.91 | ↑ +110% |
| United Healthcare | Commercial | $417.07 | ↑ +139% |
| Cigna | Commercial | $422.16 | ↑ +142% |
| Aetna | All Commercial Plans | $496.28 | ↑ +185% |
| Kaiser | PPO | $593.54 | ↑ +240% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
Comments
Special physics consult at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $559.20 | $155.64 – $594.97 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $366.80 | $149.78 – $455.72 |
| Swedish Medical Center Cherry Hill | Seattle | $559.20 | $155.64 – $575.98 |
| Swedish Issaquah | Issaquah | $559.20 | $156.08 – $594.97 |
| Providence Centralia Hospital | Centralia | $569.40 | $155.64 – $788.66 |
| Providence St Mary Medical Center | Walla Walla | $917.70 | $120.23 – $277.09 |
| Kadlec Regional Medical Center | Richland | $799.40 | $149.78 – $494.97 |
| Providence Holy Family Hospital | Spokane | $477.40 | $149.78 – $562.55 |