Biopsy of tear sac at MultiCare Mary Bridge Children's Hospital
317 Martin Luther King Jr Way, Tacoma, WA · Multicare · · NPI 1306952726
not published by hospital
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.
not published by hospital
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.
$947.46 with Molina vs $16,628.34 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 | $947.46 | — |
| United Healthcare | Apple Health | $1,023.25 | — |
| Coordinated Care | Apple Health | $1,023.25 | — |
| Community Health Plan of Washington | Apple Health | $1,023.25 | — |
| WellPoint | Apple Health | $1,023.25 | — |
| SCAN | MedAdvantage | $2,719.18 | — |
| Regence | MedAdvantage | $2,800.75 | — |
| Aetna | MedAdvantage | $2,800.75 | — |
| United Healthcare | MedAdvantage HMO | $2,827.95 | — |
| WellCare | MedAdvantage | $2,855.14 | — |
| Molina | MedAdvantage | $2,855.14 | — |
| Community Health Plan of Washington | Cascade Care | $2,984.49 | — |
| Community Health Plan of Washington | MedAdvantage | $2,991.10 | — |
| Ambetter | Coordinated Care Exchange | $3,363.47 | — |
| Premera | HMO | $3,960.66 | — |
| Premera | Signature | $8,538.06 | — |
| Premera | Prime | $8,730.18 | — |
| Premera | Other Commercial Plans | $10,729.59 | — |
| Regence | RealValue | $12,211.35 | — |
| Aetna | All Commercial Plans | $15,959.61 | — |
| Kaiser | HMO/PPO | $16,628.34 | — |
Visitor-reported prices
Comments
Biopsy of tear sac at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Medical Center | Tacoma | not published | $5,752.58 – $5,752.58 |
| MultiCare Allenmore Hospital | Tacoma | not published | $952.20 – $11,412.47 |
| Virginia Mason Medical Center | Seattle | $2,723.40 | $2.44 – $1,186.02 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $2,649.34 – $2,914.27 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $2,753.10 – $9,424.42 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $2,649.34 – $6,742.56 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $2,753.10 – $9,076.09 |
| Swedish Issaquah | Issaquah | not published | $2,760.83 – $9,424.42 |