Tongue biopsy; posterior one-third 41105 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.
$1,973.85 with Molina vs $10,756.10 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 | $1,973.85 | — |
| Community Health Plan of Washington | Apple Health | $2,089.95 | — |
| Coordinated Care | Apple Health | $2,225.41 | — |
| United Healthcare | Apple Health | $2,225.41 | — |
| WellPoint | Apple Health | $2,293.14 | — |
| SCAN | MedAdvantage | $3,877.74 | — |
| Cigna Sterling | MedAdvantage | $3,955.29 | — |
| Regence | MedAdvantage | $3,994.07 | — |
| United Healthcare | MedAdvantage | $4,071.63 | — |
| Aetna | MedAdvantage | $4,071.63 | — |
| Community Health Plan of Washington | MedAdvantage | $4,071.63 | — |
| WellCare | MedAdvantage | $4,110.40 | — |
| Kaiser | MedAdvantage | $4,343.07 | — |
| First Choice | MHS Employee MCC/PPO | $4,345.93 | — |
| Community Health Plan of Washington | Cascade Care | $6,204.38 | — |
| Ambetter | Coordinated Care Exchange | $6,630.93 | — |
| United Healthcare | Commercial | $6,857.00 | — |
| First Choice | First Choice PPO | $7,124.47 | — |
| Kaiser | HMO/PPO | $7,909.18 | — |
| Regence | RealValue | $9,021.11 | — |
| Uniform Medical | All Commercial Plans | $9,686.01 | — |
| Premera | Prime | $10,020.63 | — |
| Regence | Commercial | $10,023.45 | — |
| Regence | Blue High Performance | $10,023.45 | — |
| Regence | MCC/AHN | $10,023.45 | — |
| Premera | Other Commercial Plans | $10,756.10 | — |
| Premera | Signature | $10,756.10 | — |
Visitor-reported prices
Comments
Tongue biopsy; posterior one-third 41105 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Michael Medical Center | Silverdale | $1,802.69 | $2,573.24 – $13,408.63 |
| St. Anne Hospital | Burien | $1,247.23 | $1,756.34 – $3,676.05 |
| St. Anthony Hospital | Gig Harbor | $1,242.30 | $2,940.84 – $7,741.04 |
| St. Joseph Medical Center | Tacoma | $1,352.78 | $2,940.84 – $7,741.04 |
| St. Elizabeth Hospital | Enumclaw | $1,443.32 | $694.37 – $3,676.05 |
| Virginia Mason Medical Center | Seattle | $3,306.33 | $5.53 – $476.48 |
| St. Francis Hospital | Federal Way | $1,281.82 | $2,940.84 – $7,741.04 |
| St. Clare Hospital | Lakewood | $1,177.32 | $2,940.84 – $7,741.04 |