Influenza virus vaccine, live trivalent intranasal at MultiCare Good Samaritan Hospital

401 15th Avenue Southeast, Puyallup, WA · Multicare · · NPI 1841231461

Source: hospital's published price file ↗ · Published Aug 27, 2026 · Ingested Sep 17, 2026

$18.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$45.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$7.38 with SCAN vs $39.90 with Cigna — 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 →

Payer
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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
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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 $7.38 ↓ -59%
Regence MedAdvantage $7.61 ↓ -58%
Aetna MedAdvantage $7.61 ↓ -58%
United Healthcare MedAdvantage $7.65 ↓ -58%
Molina MedAdvantage $7.74 ↓ -57%
Community Health Plan of Washington MedAdvantage $8.10 ↓ -55%
Community Health Plan of Washington Cascade Care $12.42 ↓ -31%
Ambetter Coordinated Care Exchange $14.72 ↓ -18%
First Choice MHS Employee MCC/PPO $17.33 ↓ -4%
Regence Blue High Performance $18.57 ↑ +3%
Regence MCC/AHN $18.57 ↑ +3%
Regence RealValue $19.10 ↑ +6%
Molina Apple Health $19.21 ↑ +7%
United Healthcare All Commercial Plans $20.00 ↑ +11%
Community Health Plan of Washington Apple Health $20.75 ↑ +15%
WellPoint Apple Health $20.75 ↑ +15%
Coordinated Care Apple Health $20.75 ↑ +15%
United Healthcare Apple Health $20.75 ↑ +15%
Uniform Medical All Commercial Plans $21.23 ↑ +18%
Regence Commercial $21.23 ↑ +18%
Aetna All Commercial Plans $22.72 ↑ +26%
First Choice MCC Wellfound Employee $23.31 ↑ +30%
Premera Signature $27.00 ↑ +50%
Premera Other Commercial Plans $27.00 ↑ +50%
Premera Prime $27.00 ↑ +50%
Premera HMO $27.00 ↑ +50%
First Choice PPO $31.50 ↑ +75%
Multiplan/PHCS All Commercial Plans $32.85 ↑ +83%
First Health All Commercial Plans $32.85 ↑ +83%
Cigna All Commercial Plans $39.90 ↑ +122%
WellCare MedAdvantage not published by hospital
Kaiser PPO not published by hospital

Visitor-reported prices

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Influenza virus vaccine, live trivalent intranasal at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Auburn Medical Center Auburn $18.00 $18.57 – $39.90
Virginia Mason Medical Center Seattle $28.18 $89.08 – $89.08
MultiCare Capital Medical Center Olympia $18.00 $19.71 – $39.90
MultiCare Covington Medical Center Covington $18.00 $18.57 – $39.90
MultiCare Mary Bridge Children's Hospital Tacoma $18.00 $19.12 – $67.89
MultiCare Allenmore Hospital Tacoma $18.00 $18.57 – $39.90
Providence Centralia Hospital Centralia not published $86.61 – $86.61
Kadlec Regional Medical Center Richland not published $33.96 – $86.61

All Washington hospitals for this procedure →