Biopsy of lip 40490 at MultiCare Yakima Memorial Hospital
2811 Tieton Drive, Yakima, WA · Multicare · · NPI 1053373480
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.
$277.02 with SCAN vs $5,793.00 with United Healthcare — 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 |
|---|---|---|---|
| SCAN | MedAdvantage | $277.02 | — |
| Cigna Sterling | MedAdvantage | $282.56 | — |
| Regence | MedAdvantage | $285.33 | — |
| Aetna | MedAdvantage | $290.87 | — |
| United Healthcare | MedAdvantage | $290.87 | — |
| Community Health Plan of Washington | MedAdvantage | $290.87 | — |
| WellCare | MedAdvantage | $293.64 | — |
| Kaiser | MedAdvantage | $310.26 | — |
| First Choice | MHS Employee MCC/PPO | $372.66 | — |
| Community Health Plan of Washington | Cascade Care | $443.23 | — |
| Ambetter | Coordinated Care Exchange | $473.70 | — |
| Kaiser | HMO/PPO | $577.77 | — |
| First Choice | First Choice PPO | $610.92 | — |
| Molina | Apple Health | $623.44 | — |
| Community Health Plan of Washington | Apple Health | $660.11 | — |
| Regence | RealValue | $684.41 | — |
| Coordinated Care | Apple Health | $702.90 | — |
| United Healthcare | Apple Health | $702.90 | — |
| WellPoint | Apple Health | $724.29 | — |
| Uniform Medical | All Commercial Plans | $734.84 | — |
| Premera | Prime | $760.24 | — |
| Regence | MCC/AHN | $760.45 | — |
| Regence | Commercial | $760.45 | — |
| Regence | Blue High Performance | $760.45 | — |
| Premera | Other Commercial Plans | $816.04 | — |
| Premera | Signature | $816.04 | — |
| United Healthcare | Commercial | $5,793.00 | — |
Visitor-reported prices
Comments
Biopsy of lip 40490 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $636.48 | $274.27 – $957.11 |
| Swedish Medical Center Cherry Hill | Seattle | $636.48 | $274.27 – $926.56 |
| Swedish Issaquah | Issaquah | $636.48 | $275.04 – $957.11 |
| Virginia Mason Medical Center | Seattle | $380.97 | $3.69 – $337.01 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $263.93 – $290.33 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $263.93 – $671.71 |
| Central Medical Center | Seattle | not published | not published |
| Providence Centralia Hospital | Centralia | not published | $274.27 – $1,191.29 |