_afb org id by sequencing rflx ast-sendout 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

$344.56

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.

$780.68

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.

$115.36 with Kaiser vs $702.62 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 $115.36 ↓ -67%
CHPW Medicare|All Plans $115.36 ↓ -67%
BCBS - Regence Medicare|All Plans $115.36 ↓ -67%
Optum Medicare|All Plans $116.51 ↓ -66%
BCBS - Premera Medicare|All Plans $118.82 ↓ -66%
Aetna Medicare|All Plans $118.82 ↓ -66%
BCBS - Regence Commercial|All Plans $121.13 ↓ -65%
Humana Medicare|All Plans $123.44 ↓ -64%
Wellcare Medicare|All Plans $124.59 ↓ -64%
Molina Medicare|All Plans $124.59 ↓ -64%
United Medicare|All Plans $124.59 ↓ -64%
Uniform Medical Plan Commercial|All Plans $173.04 ↓ -50%
BCBS - Premera Commercial|All Other Plans $201.88 ↓ -41%
Sound Family Medicine Commercial|All Plans $230.72 ↓ -33%
Molina Commercial|Marketplace Exchange $265.33 ↓ -23%
Coordinated Care Commercial|Ambetter Exchange $269.94 ↓ -22%
BCBS - Premera Commercial|LifeWise Primary Exchange $293.01 ↓ -15%
Cigna Commercial|All Plans $370.28 ↑ +7%
Aetna Commercial|AWH $530.87 ↑ +54%
Aetna Commercial|Sound Health $562.09 ↑ +63%
First Choice Commercial|All Plans $569.90 ↑ +65%
Aetna Commercial|All Other Plans $624.55 ↑ +81%
Aetna Commercial|WEA $624.55 ↑ +81%
United Commercial|Cascade Care $640.16 ↑ +86%
United Commercial|All Other Plans $640.16 ↑ +86%
Aetna Commercial|Rental $687.00 ↑ +99%
MultiPlan Commercial|All Plans $702.62 ↑ +104%

Visitor-reported prices

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_afb org id by sequencing rflx ast-sendout at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $729.12 $103.82 – $542.19
Swedish Medical Center Cherry Hill Seattle $729.12 $103.82 – $524.89
Swedish Issaquah Issaquah $729.12 $103.82 – $542.19
Providence Mount Carmel Hospital Colville $457.80 not published
Swedish Edmonds Hospital Edmonds $729.12 $115.36 – $519.12
Providence St Mary Medical Center Walla Walla $300.30 $115.36 – $213.42
Providence Regional Medical Center Everett - Colby Campus Everett $789.88 $115.36 – $484.51
MultiCare Valley Hospital Spokane Valley $86.80 $115.36 – $209.15

All Washington hospitals for this procedure →