Tc-99m exametazime diag 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

$1,387.67

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.

$3,144.15

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.

$935.06 with Kaiser vs $2,829.74 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 $935.06 ↓ -33%
CHPW Medicare|All Plans $935.06 ↓ -33%
Optum Medicare|All Plans $944.41 ↓ -32%
BCBS - Regence Medicare|All Plans $963.11 ↓ -31%
Aetna Medicare|All Plans $963.11 ↓ -31%
BCBS - Premera Medicare|All Plans $963.11 ↓ -31%
Humana Medicare|All Plans $1,000.51 ↓ -28%
United Medicare|All Plans $1,009.86 ↓ -27%
Molina Medicare|All Plans $1,009.86 ↓ -27%
Sound Family Medicine Commercial|All Plans $1,870.12 ↑ +35%
Cigna Commercial|All Plans $1,980.82 ↑ +43%
Aetna Commercial|AWH $2,138.03 ↑ +54%
Molina Commercial|Marketplace Exchange $2,150.64 ↑ +55%
Coordinated Care Commercial|Ambetter Exchange $2,188.04 ↑ +58%
Aetna Commercial|Sound Health $2,263.79 ↑ +63%
First Choice Commercial|All Plans $2,295.23 ↑ +65%
Aetna Commercial|All Other Plans $2,515.32 ↑ +81%
Aetna Commercial|WEA $2,515.32 ↑ +81%
United Commercial|All Other Plans $2,578.21 ↑ +86%
United Commercial|Cascade Care $2,578.21 ↑ +86%
BCBS - Premera Commercial|LifeWise Primary Exchange $2,593.16 ↑ +87%
Aetna Commercial|Rental $2,766.86 ↑ +99%
BCBS - Premera Commercial|All Other Plans $2,808.19 ↑ +102%
MultiPlan Commercial|All Plans $2,829.74 ↑ +104%

Visitor-reported prices

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Tc-99m exametazime diag at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Centralia Hospital Centralia $4,112.64 $2,407.02 – $2,407.02
Providence St Peter Hospital Olympia $4,112.64 not published
MultiCare Valley Hospital Spokane Valley $2,952.40 $1,123.28 – $7,737.52
MultiCare Yakima Memorial Hospital Yakima $421.60 $1,484.33 – $1,484.33
St. Anne Hospital Burien $960.09 $1,351.99 – $2,829.74
St. Anthony Hospital Gig Harbor $956.29 $2,263.79 – $2,358.12
MultiCare Auburn Medical Center Auburn $3,463.20 $1,123.28 – $4,025.08
MultiCare Good Samaritan Hospital Puyallup $3,463.20 $1,123.28 – $4,025.08

All Washington hospitals for this procedure →