Administration immunization 1 vaccine at St. Michael Medical Center

1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 17, 2026

$59.15

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.

$134.02

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.

$82.94 with Kaiser vs $317.99 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
Kaiser Medicare|All Plans $82.94 ↑ +40%
CHPW Medicare|All Plans $82.94 ↑ +40%
Wellcare Medicare|All Plans $83.39 ↑ +41%
Optum Medicare|All Plans $83.77 ↑ +42%
Cigna Commercial|All Plans $84.44 ↑ +43%
Aetna Medicare|All Plans $85.43 ↑ +44%
BCBS - Regence Medicare|All Plans $85.43 ↑ +44%
BCBS - Premera Medicare|All Plans $85.43 ↑ +44%
Humana Medicare|All Plans $88.75 ↑ +50%
United Medicare|All Plans $89.58 ↑ +51%
Molina Medicare|All Plans $89.58 ↑ +51%
Aetna Commercial|AWH $91.14 ↑ +54%
Aetna Commercial|Sound Health $96.50 ↑ +63%
First Choice Commercial|All Plans $97.84 ↑ +65%
Aetna Commercial|WEA $107.22 ↑ +81%
Aetna Commercial|All Other Plans $107.22 ↑ +81%
United Commercial|Cascade Care $109.90 ↑ +86%
United Commercial|All Other Plans $109.90 ↑ +86%
Aetna Commercial|Rental $117.94 ↑ +99%
MultiPlan Commercial|All Plans $120.62 ↑ +104%
Sound Family Medicine Commercial|All Plans $165.88 ↑ +180%
Molina Commercial|Marketplace Exchange $190.76 ↑ +223%
Coordinated Care Commercial|Ambetter Exchange $194.08 ↑ +228%
Uniform Medical Plan Commercial|All Plans $194.81 ↑ +229%
BCBS - Regence Commercial|All Plans $223.97 ↑ +279%
BCBS - Premera Commercial|LifeWise Primary Exchange $276.64 ↑ +368%
BCBS - Premera Commercial|All Other Plans $305.69 ↑ +417%
Kaiser Commercial|All Plans $317.99 ↑ +438%

Visitor-reported prices

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Administration immunization 1 vaccine at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $103.60 $80.23 – $88.26
Providence St Joseph Hospital Chewelah $76.30 not published
Swedish Medical Center - First Hill Campus Seattle $62.40 $83.38 – $284.21
Providence Sacred Heart Medical Center and Children's Hospital Spokane $103.60 $80.23 – $217.69
Swedish Medical Center Cherry Hill Seattle $62.40 $83.38 – $275.14
Swedish Issaquah Issaquah $62.40 $46.74 – $284.21
Central Medical Center Seattle $76.00 not published
Providence Centralia Hospital Centralia $104.00 $83.38 – $376.73

All Washington hospitals for this procedure →