Brachy source yttrium-90 at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$60,449.48
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.
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What you pay up front if you don't use insurance.
$136,965.56
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.
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The hospital's undiscounted list price — almost no one pays this.
$20,377.49 with Kaiser vs $113,398.55 with MultiPlan — 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 →
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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 ?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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $20,377.49 | ↓ -66% |
| CHPW | Medicare|All Plans | $20,377.49 | ↓ -66% |
| Optum | Medicare|All Plans | $20,581.26 | ↓ -66% |
| BCBS - Regence | Medicare|All Plans | $20,988.81 | ↓ -65% |
| Aetna | Medicare|All Plans | $20,988.81 | ↓ -65% |
| BCBS - Premera | Medicare|All Plans | $20,988.81 | ↓ -65% |
| Wellcare | Medicare|All Plans | $21,340.53 | ↓ -65% |
| Humana | Medicare|All Plans | $21,803.91 | ↓ -64% |
| United | Medicare|All Plans | $22,007.69 | ↓ -64% |
| Molina | Medicare|All Plans | $22,007.69 | ↓ -64% |
| Sound Family Medicine | Commercial|All Plans | $40,754.98 | ↓ -33% |
| Molina | Commercial|Marketplace Exchange | $46,868.23 | ↓ -22% |
| Coordinated Care | Commercial|Ambetter Exchange | $47,683.33 | ↓ -21% |
| Uniform Medical Plan | Commercial|All Plans | $49,854.55 | ↓ -18% |
| BCBS - Regence | Commercial|All Plans | $57,317.96 | ↓ -5% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $70,798.02 | ↑ +17% |
| BCBS - Premera | Commercial|All Other Plans | $78,232.44 | ↑ +29% |
| Cigna | Commercial|All Plans | $79,378.98 | ↑ +31% |
| Kaiser | Commercial|All Plans | $82,994.80 | ↑ +37% |
| Aetna | Commercial|AWH | $85,678.90 | ↑ +42% |
| Aetna | Commercial|Sound Health | $90,718.84 | ↑ +50% |
| First Choice | Commercial|All Plans | $91,978.82 | ↑ +52% |
| Aetna | Commercial|WEA | $100,798.71 | ↑ +67% |
| Aetna | Commercial|All Other Plans | $100,798.71 | ↑ +67% |
| United | Commercial|Cascade Care | $103,318.68 | ↑ +71% |
| United | Commercial|All Other Plans | $103,318.68 | ↑ +71% |
| Aetna | Commercial|Rental | $110,878.58 | ↑ +83% |
| MultiPlan | Commercial|All Plans | $113,398.55 | ↑ +88% |
Visitor-reported prices
Comments
Brachy source yttrium-90 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $32,820.80 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $36,861.17 | $17,771.01 – $80,330.38 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $34,172.79 | $17,771.01 – $61,529.65 |
| Swedish Medical Center Cherry Hill | Seattle | $36,861.17 | $17,771.01 – $71,784.59 |
| Swedish Issaquah | Issaquah | $36,861.17 | $17,771.01 – $80,330.38 |
| Central Medical Center | Seattle | $16,979.60 | not published |
| Providence Centralia Hospital | Centralia | $31,103.54 | $17,771.01 – $106,480.48 |
| Providence Mount Carmel Hospital | Colville | $32,820.80 | not published |