Gentamicin peak therapeutic drug level 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

$108.04

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.

$244.78

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.

$16.38 with Kaiser vs $220.31 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 →

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 $16.38 ↓ -85%
CHPW Medicare|All Plans $16.38 ↓ -85%
BCBS - Regence Medicare|All Plans $16.38 ↓ -85%
Optum Medicare|All Plans $16.54 ↓ -85%
BCBS - Premera Medicare|All Plans $16.87 ↓ -84%
Aetna Medicare|All Plans $16.87 ↓ -84%
BCBS - Regence Commercial|All Plans $17.20 ↓ -84%
Humana Medicare|All Plans $17.53 ↓ -84%
Wellcare Medicare|All Plans $17.69 ↓ -84%
Molina Medicare|All Plans $17.69 ↓ -84%
United Medicare|All Plans $17.69 ↓ -84%
Uniform Medical Plan Commercial|All Plans $24.57 ↓ -77%
BCBS - Premera Commercial|All Other Plans $28.67 ↓ -73%
Sound Family Medicine Commercial|All Plans $32.76 ↓ -70%
Molina Commercial|Marketplace Exchange $37.67 ↓ -65%
Coordinated Care Commercial|Ambetter Exchange $38.33 ↓ -65%
BCBS - Premera Commercial|LifeWise Primary Exchange $41.61 ↓ -61%
Cigna Commercial|All Plans $52.56 ↓ -51%
Aetna Commercial|AWH $166.46 ↑ +54%
Aetna Commercial|Sound Health $176.25 ↑ +63%
First Choice Commercial|All Plans $178.69 ↑ +65%
Aetna Commercial|All Other Plans $195.83 ↑ +81%
Aetna Commercial|WEA $195.83 ↑ +81%
United Commercial|Cascade Care $200.72 ↑ +86%
United Commercial|All Other Plans $200.72 ↑ +86%
Aetna Commercial|Rental $215.41 ↑ +99%
MultiPlan Commercial|All Plans $220.31 ↑ +104%

Visitor-reported prices

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Gentamicin peak therapeutic drug level at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $90.09 $16.38 – $18.02
Providence St Joseph Hospital Chewelah $119.00 not published
Swedish Medical Center - First Hill Campus Seattle $90.24 $14.74 – $76.99
Providence Sacred Heart Medical Center and Children's Hospital Spokane $211.40 $16.38 – $58.97
Swedish Medical Center Cherry Hill Seattle $90.24 $14.74 – $74.53
Swedish Issaquah Issaquah $90.24 $14.74 – $76.99
Central Medical Center Seattle $73.60 $13.00 – $13.00
Providence Centralia Hospital Centralia $317.72 $16.38 – $102.05

All Washington hospitals for this procedure →