Tpmt gene com vrnts at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$254.40
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.
$636.00
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.
$80.58 with Molina vs $590.86 with Aetna — 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 | $80.58 | ↓ -68% |
| Coordinated Care | Apple Health | $81.37 | ↓ -68% |
| WellPoint | Apple Health | $81.37 | ↓ -68% |
| United Healthcare | Apple Health | $82.95 | ↓ -67% |
| Community Health Plan of Washington | Apple Health | $85.32 | ↓ -66% |
| Premera | HMO | $174.81 | ↓ -31% |
| Blue Cross of Idaho | MedAdvantage | $176.45 | ↓ -31% |
| Aetna | MedAdvantage | $176.45 | ↓ -31% |
| Regence | MedAdvantage | $176.45 | ↓ -31% |
| United Healthcare | MedAdvantage | $178.17 | ↓ -30% |
| WellCare | MedAdvantage | $179.88 | ↓ -29% |
| Molina | MedAdvantage | $179.88 | ↓ -29% |
| Community Health Plan of Washington | MedAdvantage | $188.45 | ↓ -26% |
| Kaiser | PPO | $192.29 | ↓ -24% |
| Regence/Asuris | Commercial | $201.03 | ↓ -21% |
| United Healthcare | Commercial | $209.77 | ↓ -18% |
| Cigna | Commercial | $209.77 | ↓ -18% |
| Premera | Other Commercial Plans | $218.51 | ↓ -14% |
| Premera | Prime | $218.51 | ↓ -14% |
| Premera | Signature | $218.51 | ↓ -14% |
| First Choice | MHS Employee MCC/PPO | $236.27 | ↓ -7% |
| Community Health Plan of Washington | Cascade Care | $288.84 | ↑ +14% |
| First Choice | MCC Wellfound Employee | $307.63 | ↑ +21% |
| Ambetter | Coordinated Care Exchange | $316.93 | ↑ +25% |
| First Choice | PPO | $445.84 | ↑ +75% |
| Multiplan/PHCS | All Commercial Plans | $457.92 | ↑ +80% |
| First Health | All Commercial Plans | $457.92 | ↑ +80% |
| Aetna | All Commercial Plans | $590.86 | ↑ +132% |
| SCAN | MedAdvantage | not published by hospital | — |
Visitor-reported prices
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Tpmt gene com vrnts at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $483.84 | $157.33 – $531.07 |
| Swedish Medical Center Cherry Hill | Seattle | $483.84 | $157.33 – $524.43 |
| Swedish Issaquah | Issaquah | $483.84 | $157.33 – $388.08 |
| Providence St Mary Medical Center | Walla Walla | $532.00 | $174.81 – $323.40 |
| MultiCare Yakima Memorial Hospital | Yakima | $192.80 | $174.74 – $319.90 |
| St. Michael Medical Center | Silverdale | $218.90 | $174.81 – $446.39 |
| St. Anne Hospital | Burien | $151.46 | $174.81 – $446.39 |
| St. Anthony Hospital | Gig Harbor | $150.86 | $174.81 – $371.99 |