Fitting of diaphragm/cap 57170 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.
$133.87 with Molina 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 |
|---|---|---|---|
| Molina | Apple Health | $133.87 | — |
| Community Health Plan of Washington | Apple Health | $141.75 | — |
| Coordinated Care | Apple Health | $150.93 | — |
| United Healthcare | Apple Health | $150.93 | — |
| WellPoint | Apple Health | $155.53 | — |
| SCAN | MedAdvantage | $236.46 | — |
| Cigna Sterling | MedAdvantage | $241.19 | — |
| Regence | MedAdvantage | $243.55 | — |
| United Healthcare | MedAdvantage | $248.28 | — |
| Aetna | MedAdvantage | $248.28 | — |
| Community Health Plan of Washington | MedAdvantage | $248.28 | — |
| WellCare | MedAdvantage | $250.65 | — |
| Kaiser | MedAdvantage | $264.83 | — |
| First Choice | MHS Employee MCC/PPO | $303.87 | — |
| Community Health Plan of Washington | Cascade Care | $378.33 | — |
| Ambetter | Coordinated Care Exchange | $404.34 | — |
| Kaiser | HMO/PPO | $495.20 | — |
| First Choice | First Choice PPO | $498.15 | — |
| Regence | RealValue | $558.33 | — |
| Uniform Medical | All Commercial Plans | $599.48 | — |
| Premera | Prime | $620.20 | — |
| Regence | Commercial | $620.37 | — |
| Regence | Blue High Performance | $620.37 | — |
| Regence | MCC/AHN | $620.37 | — |
| Premera | Other Commercial Plans | $665.72 | — |
| Premera | Signature | $665.72 | — |
| United Healthcare | Commercial | $5,793.00 | — |
Visitor-reported prices
Comments
Fitting of diaphragm/cap 57170 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $537.60 | $234.11 – $780.44 |
| Swedish Medical Center Cherry Hill | Seattle | $537.60 | $234.11 – $755.53 |
| Swedish Issaquah | Issaquah | $537.60 | $234.77 – $780.44 |
| Virginia Mason Medical Center | Seattle | $306.51 | $2.24 – $229.44 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $225.29 – $573.36 |
| Central Medical Center | Seattle | not published | not published |
| Providence Centralia Hospital | Centralia | not published | $234.11 – $971.39 |
| Swedish Edmonds Hospital | Edmonds | not published | $230.23 – $747.23 |