Afo tib fx semi-rigid l2114 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

$73.13

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.

$165.68

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.

$93.20 with Cigna vs $2,999.78 with Kaiser — 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
Cigna Commercial|All Plans $93.20 ↑ +27%
Aetna Commercial|AWH $100.60 ↑ +38%
Aetna Commercial|Sound Health $106.51 ↑ +46%
First Choice Commercial|All Plans $107.99 ↑ +48%
Aetna Commercial|WEA $118.35 ↑ +62%
Aetna Commercial|All Other Plans $118.35 ↑ +62%
United Commercial|All Other Plans $121.31 ↑ +66%
United Commercial|Cascade Care $121.31 ↑ +66%
Aetna Commercial|Rental $130.18 ↑ +78%
MultiPlan Commercial|All Plans $133.14 ↑ +82%
BCBS - Premera Commercial|All Other Plans $147.93 ↑ +102%
BCBS - Premera Commercial|LifeWise Primary Exchange $147.93 ↑ +102%
BCBS - Regence Commercial|All Plans $653.04 ↑ +793%
Uniform Medical Plan Commercial|All Plans $653.04 ↑ +793%
Kaiser Commercial|All Plans $2,999.78 ↑ +4002%

Visitor-reported prices

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Afo tib fx semi-rigid l2114 at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Valley Hospital Spokane Valley $347.60 $653.04 – $2,832.38
MultiCare Yakima Memorial Hospital Yakima $347.60 $587.74 – $1,143.03
St. Anne Hospital Burien $50.60 $63.61 – $2,133.52
St. Anthony Hospital Gig Harbor $50.40 $73.97 – $2,205.49
MultiCare Auburn Medical Center Auburn $347.60 $571.41 – $2,946.95
MultiCare Good Samaritan Hospital Puyallup $347.60 $571.41 – $2,946.95
St. Joseph Medical Center Tacoma $54.88 $73.97 – $2,205.49
St. Elizabeth Hospital Enumclaw $58.55 $25.15 – $653.04

All Washington hospitals for this procedure →