Administration vaccine pneumococcal 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

$58.56

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.

$132.68

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.

$53.77 with CHPW vs $206.11 with BCBS - Premera — 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
CHPW Medicare|All Plans $53.77 ↓ -8%
Kaiser Medicare|All Plans $53.77 ↓ -8%
Optum Medicare|All Plans $54.31 ↓ -7%
BCBS - Premera Medicare|All Plans $55.38 ↓ -5%
Aetna Medicare|All Plans $55.38 ↓ -5%
BCBS - Regence Medicare|All Plans $55.38 ↓ -5%
Wellcare Medicare|All Plans $56.24 ↓ -4%
Humana Medicare|All Plans $57.53 ↓ -2%
United Medicare|All Plans $58.07 ↓ -1%
Molina Medicare|All Plans $58.07 ↓ -1%
Cigna Commercial|All Plans $83.59 ↑ +43%
Aetna Commercial|AWH $90.23 ↑ +54%
Aetna Commercial|Sound Health $95.53 ↑ +63%
First Choice Commercial|All Plans $96.86 ↑ +65%
Aetna Commercial|WEA $106.15 ↑ +81%
Aetna Commercial|All Other Plans $106.15 ↑ +81%
Sound Family Medicine Commercial|All Plans $107.54 ↑ +84%
United Commercial|Cascade Care $108.80 ↑ +86%
United Commercial|All Other Plans $108.80 ↑ +86%
Aetna Commercial|Rental $116.76 ↑ +99%
MultiPlan Commercial|All Plans $119.42 ↑ +104%
Molina Commercial|Marketplace Exchange $123.67 ↑ +111%
Coordinated Care Commercial|Ambetter Exchange $125.82 ↑ +115%
Uniform Medical Plan Commercial|All Plans $131.36 ↑ +124%
BCBS - Regence Commercial|All Plans $151.03 ↑ +158%
BCBS - Premera Commercial|LifeWise Primary Exchange $186.53 ↑ +219%
Kaiser Commercial|All Plans $199.69 ↑ +241%
BCBS - Premera Commercial|All Other Plans $206.11 ↑ +252%

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 Valley Hospital Spokane Valley $96.80 $26.08 – $188.55
MultiCare Yakima Memorial Hospital Yakima $84.40 $55.86 – $147.83
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 →