Breast reconstruction 19357 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.
$4,621.80 with Molina vs $58,871.31 with Premera — 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 | $4,621.80 | — |
| Community Health Plan of Washington | Apple Health | $4,893.67 | — |
| Coordinated Care | Apple Health | $5,210.85 | — |
| United Healthcare | Apple Health | $5,210.85 | — |
| WellPoint | Apple Health | $5,369.44 | — |
| SCAN | MedAdvantage | $16,118.11 | — |
| Cigna Sterling | MedAdvantage | $16,440.48 | — |
| Regence | MedAdvantage | $16,601.66 | — |
| United Healthcare | MedAdvantage | $16,924.02 | — |
| Aetna | MedAdvantage | $16,924.02 | — |
| Community Health Plan of Washington | MedAdvantage | $16,924.02 | — |
| WellCare | MedAdvantage | $17,085.20 | — |
| Kaiser | MedAdvantage | $18,052.29 | — |
| United Healthcare | Commercial | $19,271.00 | — |
| First Choice | MHS Employee MCC/PPO | $22,985.45 | — |
| Community Health Plan of Washington | Cascade Care | $25,788.98 | — |
| Ambetter | Coordinated Care Exchange | $27,561.97 | — |
| First Choice | First Choice PPO | $37,681.06 | — |
| Kaiser | HMO/PPO | $46,380.88 | — |
| Regence | RealValue | $49,375.22 | — |
| Uniform Medical | All Commercial Plans | $53,014.46 | — |
| Premera | Prime | $54,845.87 | — |
| Regence | Commercial | $54,861.36 | — |
| Regence | Blue High Performance | $54,861.36 | — |
| Regence | MCC/AHN | $54,861.36 | — |
| Premera | Other Commercial Plans | $58,871.31 | — |
| Premera | Signature | $58,871.31 | — |
Visitor-reported prices
Comments
Breast reconstruction 19357 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Virginia Mason Medical Center | Seattle | $17,122.74 | $13.72 – $6,292.80 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $15,356.73 – $16,892.40 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $7,277.00 – $67,465.72 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $12,967.00 – $42,945.32 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $7,277.00 – $64,972.12 |
| Swedish Issaquah | Issaquah | not published | $7,277.00 – $67,465.72 |
| Central Medical Center | Seattle | not published | not published |
| Providence Centralia Hospital | Centralia | not published | $15,958.20 – $81,041.98 |