Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) 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

$306.38

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.

$765.93

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.

$197.44 with United Healthcare vs $4,258.35 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.

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
United Healthcare Commercial $197.44 ↓ -36%
Aetna MedAdvantage $199.30 ↓ -35%
Regence MedAdvantage $199.30 ↓ -35%
Blue Cross of Idaho MedAdvantage $199.30 ↓ -35%
United Healthcare MedAdvantage $201.23 ↓ -34%
WellCare MedAdvantage $203.17 ↓ -34%
Molina MedAdvantage $203.17 ↓ -34%
Community Health Plan of Washington MedAdvantage $212.84 ↓ -31%
Cigna Commercial $227.40 ↓ -26%
Premera HMO $229.84 ↓ -25%
Regence/Asuris Commercial $236.21 ↓ -23%
First Choice MHS Employee MCC/PPO $274.77 ↓ -10%
Community Health Plan of Washington Cascade Care $326.23 ↑ +6%
Premera Signature $344.51 ↑ +12%
Premera Prime $344.51 ↑ +12%
Premera Other Commercial Plans $344.51 ↑ +12%
First Choice MCC Wellfound Employee $357.76 ↑ +17%
Ambetter Coordinated Care Exchange $357.96 ↑ +17%
First Choice PPO $518.48 ↑ +69%
Multiplan/PHCS All Commercial Plans $532.53 ↑ +74%
First Health All Commercial Plans $532.53 ↑ +74%
Kaiser PPO $639.42 ↑ +109%
Aetna All Commercial Plans $643.23 ↑ +110%
Molina Apple Health $4,021.77 ↑ +1213%
Coordinated Care Apple Health $4,061.20 ↑ +1226%
WellPoint Apple Health $4,061.20 ↑ +1226%
United Healthcare Apple Health $4,140.06 ↑ +1251%
Community Health Plan of Washington Apple Health $4,258.35 ↑ +1290%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $21,727.76 not published
Swedish Medical Center - First Hill Campus Seattle $18,809.85 $157.47 – $365.27
Providence Sacred Heart Medical Center and Children's Hospital Spokane $21,727.76 $119.43 – $365.27
Swedish Medical Center Cherry Hill Seattle $18,809.85 $157.47 – $365.27
Swedish Issaquah Issaquah $18,809.85 $157.47 – $365.27
Providence Centralia Hospital Centralia $22,966.12 $157.47 – $1,042.14
Providence Mount Carmel Hospital Colville $21,727.76 not published
Swedish Edmonds Hospital Edmonds $11,831.59 $167.97 – $365.27

All Washington hospitals for this procedure →