Administration vaccine pneumococcal at MultiCare Valley Hospital

12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251

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

$96.80

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.

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

$242.00

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.

$26.08 with Molina vs $188.55 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 →

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
Molina Apple Health $26.08 ↓ -73%
Coordinated Care Apple Health $26.34 ↓ -73%
WellPoint Apple Health $26.34 ↓ -73%
United Healthcare Apple Health $26.85 ↓ -72%
Community Health Plan of Washington Apple Health $27.61 ↓ -71%
Regence MedAdvantage $52.67 ↓ -46%
Blue Cross of Idaho MedAdvantage $52.67 ↓ -46%
Aetna MedAdvantage $52.67 ↓ -46%
United Healthcare MedAdvantage $53.18 ↓ -45%
Molina MedAdvantage $53.69 ↓ -45%
WellCare MedAdvantage $53.69 ↓ -45%
Community Health Plan of Washington MedAdvantage $56.25 ↓ -42%
Premera HMO $74.90 ↓ -23%
Community Health Plan of Washington Cascade Care $86.22 ↓ -11%
First Choice MHS Employee MCC/PPO $89.90 ↓ -7%
Ambetter Coordinated Care Exchange $94.60 ↓ -2%
First Choice MCC Wellfound Employee $117.06 ↑ +21%
Premera Signature $125.68 ↑ +30%
Premera Other Commercial Plans $125.68 ↑ +30%
Premera Prime $125.68 ↑ +30%
Regence/Asuris Commercial $128.45 ↑ +33%
United Healthcare Commercial $145.29 ↑ +50%
Cigna Commercial $147.06 ↑ +52%
First Choice PPO $169.64 ↑ +75%
Aetna All Commercial Plans $172.45 ↑ +78%
Multiplan/PHCS All Commercial Plans $174.24 ↑ +80%
First Health All Commercial Plans $174.24 ↑ +80%
Kaiser PPO $188.55 ↑ +95%
SCAN MedAdvantage not published by hospital

Visitor-reported prices

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Administration vaccine pneumococcal at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $56.64 $54.22 – $179.12
Swedish Medical Center Cherry Hill Seattle $56.64 $54.22 – $173.40
Swedish Issaquah Issaquah $56.64 $54.38 – $179.12
Swedish Edmonds Hospital Edmonds $19.68 $53.33 – $171.50
MultiCare Yakima Memorial Hospital Yakima $84.40 $55.86 – $147.83
St. Michael Medical Center Silverdale $58.56 $83.59 – $199.69
St. Anne Hospital Burien $40.52 $57.06 – $136.45
St. Anthony Hospital Gig Harbor $40.36 $95.53 – $128.52

All Washington hospitals for this procedure →