Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$289.66
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.
$656.30
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.
$137.83 with CHPW vs $590.67 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 |
|---|---|---|---|
| CHPW | Medicare|All Plans | $137.83 | ↓ -52% |
| Kaiser | Medicare|All Plans | $137.83 | ↓ -52% |
| Optum | Medicare|All Plans | $139.21 | ↓ -52% |
| Wellcare | Medicare|All Plans | $141.77 | ↓ -51% |
| BCBS - Regence | Medicare|All Plans | $141.96 | ↓ -51% |
| Aetna | Medicare|All Plans | $141.96 | ↓ -51% |
| BCBS - Premera | Medicare|All Plans | $141.96 | ↓ -51% |
| Humana | Medicare|All Plans | $147.48 | ↓ -49% |
| United | Medicare|All Plans | $148.85 | ↓ -49% |
| Molina | Medicare|All Plans | $148.85 | ↓ -49% |
| BCBS - Regence | Commercial|All Plans | $166.85 | ↓ -42% |
| Uniform Medical Plan | Commercial|All Plans | $200.22 | ↓ -31% |
| BCBS - Premera | Commercial|All Other Plans | $245.88 | ↓ -15% |
| Aetna | Commercial|Sound Health | $266.94 | ↓ -8% |
| Sound Family Medicine | Commercial|All Plans | $275.65 | ↓ -5% |
| Molina | Commercial|Marketplace Exchange | $301.90 | ↑ +4% |
| Coordinated Care | Commercial|Ambetter Exchange | $322.51 | ↑ +11% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $356.87 | ↑ +23% |
| Cigna | Commercial|All Plans | $413.47 | ↑ +43% |
| Aetna | Commercial|AWH | $446.29 | ↑ +54% |
| First Choice | Commercial|All Plans | $479.10 | ↑ +65% |
| Aetna | Commercial|WEA | $525.04 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $525.04 | ↑ +81% |
| United | Commercial|Cascade Care | $538.17 | ↑ +86% |
| United | Commercial|All Other Plans | $538.17 | ↑ +86% |
| Aetna | Commercial|Rental | $577.55 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $590.67 | ↑ +104% |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Holy Family Hospital | Spokane | $45.50 | $146.82 – $146.82 |
| MultiCare Valley Hospital | Spokane Valley | $74.40 | $18.36 – $240.26 |
| St. Anne Hospital | Burien | $200.41 | $100.81 – $590.67 |
| St. Anthony Hospital | Gig Harbor | $199.62 | $111.58 – $492.23 |
| MultiCare Auburn Medical Center | Auburn | $137.20 | $18.78 – $224.80 |
| MultiCare Good Samaritan Hospital | Puyallup | $137.20 | $19.21 – $224.80 |
| St. Joseph Medical Center | Tacoma | $217.37 | $78.76 – $492.23 |
| St. Elizabeth Hospital | Enumclaw | $231.92 | $111.58 – $590.67 |