Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at MultiCare Valley Hospital
12606 East Mission Ave, Spokane Valley, WA · Multicare · · NPI 1538345251
$74.40
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.
?
What you pay up front if you don't use insurance.
$186.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.46 with Community Health Plan of Washington vs $240.26 with Regence/Asuris — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Community Health Plan of Washington | MedAdvantage | $0.46 | ↓ -99% |
| Blue Cross of Idaho | MedAdvantage | $0.50 | ↓ -99% |
| SCAN | MedAdvantage | $0.50 | ↓ -99% |
| Regence | MedAdvantage | $0.52 | ↓ -99% |
| Aetna | MedAdvantage | $0.52 | ↓ -99% |
| WellCare | MedAdvantage | $0.53 | ↓ -99% |
| United Healthcare | MedAdvantage | $0.53 | ↓ -99% |
| Molina | MedAdvantage | $0.53 | ↓ -99% |
| Community Health Plan of Washington | Cascade Care | $0.85 | ↓ -99% |
| Ambetter | Coordinated Care Exchange | $0.93 | ↓ -99% |
| First Choice | MHS Employee MCC/PPO | $0.99 | ↓ -99% |
| Aetna | All Commercial Plans | $1.23 | ↓ -98% |
| First Choice | MCC Wellfound Employee | $1.29 | ↓ -98% |
| First Choice | PPO | $1.87 | ↓ -97% |
| First Health | All Commercial Plans | $1.92 | ↓ -97% |
| Multiplan/PHCS | All Commercial Plans | $1.92 | ↓ -97% |
| Molina | Apple Health | $18.36 | ↓ -75% |
| Coordinated Care | Apple Health | $18.54 | ↓ -75% |
| WellPoint | Apple Health | $18.54 | ↓ -75% |
| United Healthcare | Apple Health | $18.90 | ↓ -75% |
| Community Health Plan of Washington | Apple Health | $19.44 | ↓ -74% |
| United Healthcare | Commercial | $113.81 | ↑ +53% |
| Premera | Other Commercial Plans | $175.62 | ↑ +136% |
| Premera | Prime | $175.62 | ↑ +136% |
| Premera | Signature | $175.62 | ↑ +136% |
| Cigna | Commercial | $183.58 | ↑ +147% |
| Premera | HMO | $224.80 | ↑ +202% |
| Regence/Asuris | Commercial | $240.26 | ↑ +223% |
| Kaiser | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Holy Family Hospital | Spokane | $45.50 | $146.82 – $146.82 |
| St. Michael Medical Center | Silverdale | $289.66 | $137.83 – $590.67 |
| St. Anne Hospital | Burien | $200.41 | $100.81 – $590.67 |
| St. Anthony Hospital | Gig Harbor | $199.62 | $111.58 – $492.23 |
| MultiCare Auburn Medical Center | Auburn | $137.20 | $18.78 – $224.80 |
| MultiCare Good Samaritan Hospital | Puyallup | $137.20 | $19.21 – $224.80 |
| St. Joseph Medical Center | Tacoma | $217.37 | $78.76 – $492.23 |
| St. Elizabeth Hospital | Enumclaw | $231.92 | $111.58 – $590.67 |