Ortho sidebar disconnect 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.
$134.65 with Regence vs $405.38 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 |
|---|---|---|---|
| Regence | RealValue | $134.65 | — |
| Regence | Commercial | $149.61 | — |
| Uniform Medical | All Commercial Plans | $149.61 | — |
| Regence | Blue High Performance | $149.61 | — |
| Regence | MCC/AHN | $149.61 | — |
| SCAN | MedAdvantage | $153.13 | — |
| Cigna Sterling | MedAdvantage | $156.20 | — |
| Regence | MedAdvantage | $157.73 | — |
| Community Health Plan of Washington | MedAdvantage | $160.79 | — |
| Aetna | MedAdvantage | $160.79 | — |
| United Healthcare | MedAdvantage | $160.79 | — |
| WellCare | MedAdvantage | $162.32 | — |
| Kaiser | MedAdvantage | $171.51 | — |
| Premera | Prime | $231.90 | — |
| Premera | Signature | $231.90 | — |
| Premera | Other Commercial Plans | $231.90 | — |
| First Choice | MHS Employee MCC/PPO | $233.12 | — |
| Community Health Plan of Washington | Cascade Care | $245.02 | — |
| Ambetter | Coordinated Care Exchange | $261.86 | — |
| First Choice | First Choice PPO | $382.17 | — |
| Kaiser | HMO/PPO | $405.38 | — |
Visitor-reported prices
Comments
Ortho sidebar disconnect at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MultiCare Valley Hospital | Spokane Valley | $79.60 | $149.61 – $648.90 |
| MultiCare Auburn Medical Center | Auburn | $79.60 | $130.91 – $675.15 |
| MultiCare Good Samaritan Hospital | Puyallup | $79.60 | $130.91 – $675.15 |
| MultiCare Capital Medical Center | Olympia | $79.60 | $134.65 – $283.30 |
| MultiCare Covington Medical Center | Covington | $79.60 | $130.91 – $675.15 |
| MultiCare Mary Bridge Children's Hospital | Tacoma | $79.60 | $130.91 – $1,146.87 |
| MultiCare Allenmore Hospital | Tacoma | $79.60 | $130.91 – $675.15 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $156.26 – $171.89 |