Vaccine pneumonococcal conjugate 20 valent (pcv20) im 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

$653.20

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.

$1,633.00

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.

$46.64 with Community Health Plan of Washington vs $536.26 with Regence/Asuris — 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
Community Health Plan of Washington MedAdvantage $46.64 ↓ -93%
Blue Cross of Idaho MedAdvantage $50.66 ↓ -92%
SCAN MedAdvantage $50.66 ↓ -92%
Regence MedAdvantage $52.27 ↓ -92%
Aetna MedAdvantage $52.27 ↓ -92%
United Healthcare MedAdvantage $52.81 ↓ -92%
Molina MedAdvantage $53.34 ↓ -92%
WellCare MedAdvantage $53.34 ↓ -92%
Molina Apple Health $74.44 ↓ -89%
Coordinated Care Apple Health $75.17 ↓ -88%
WellPoint Apple Health $75.17 ↓ -88%
United Healthcare Apple Health $76.63 ↓ -88%
Community Health Plan of Washington Apple Health $78.82 ↓ -88%
Community Health Plan of Washington Cascade Care $85.51 ↓ -87%
Ambetter Coordinated Care Exchange $93.82 ↓ -86%
First Choice MHS Employee MCC/PPO $99.58 ↓ -85%
Aetna All Commercial Plans $123.84 ↓ -81%
First Choice MCC Wellfound Employee $129.66 ↓ -80%
First Choice PPO $187.90 ↓ -71%
Multiplan/PHCS All Commercial Plans $193.00 ↓ -70%
First Health All Commercial Plans $193.00 ↓ -70%
United Healthcare Commercial $258.10 ↓ -60%
Premera Other Commercial Plans $380.76 ↓ -42%
Premera Prime $380.76 ↓ -42%
Premera Signature $380.76 ↓ -42%
Cigna Commercial $410.13 ↓ -37%
Premera HMO $477.84 ↓ -27%
Regence/Asuris Commercial $536.26 ↓ -18%
Kaiser PPO not published by hospital

Visitor-reported prices

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Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $608.10 not published
Providence St Joseph Hospital Chewelah $608.10 not published
Swedish Medical Center - First Hill Campus Seattle $591.75 $317.53 – $317.53
Providence Sacred Heart Medical Center and Children's Hospital Spokane $608.10 $317.53 – $317.53
Swedish Medical Center Cherry Hill Seattle $591.75 $317.53 – $317.53
Swedish Issaquah Issaquah $591.75 $317.53 – $317.53
Providence Mount Carmel Hospital Colville $608.10 not published
Swedish Edmonds Hospital Edmonds $591.75 $317.53 – $317.53

All Washington hospitals for this procedure →