Application finger splntstatic 29130 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

$280.64

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.

$635.87

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.

$150.22 with Kaiser vs $572.29 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 $150.22 ↓ -46%
CHPW Medicare|All Plans $150.22 ↓ -46%
Wellcare Medicare|All Plans $151.21 ↓ -46%
Optum Medicare|All Plans $151.72 ↓ -46%
BCBS - Regence Medicare|All Plans $154.73 ↓ -45%
Aetna Medicare|All Plans $154.73 ↓ -45%
BCBS - Premera Medicare|All Plans $154.73 ↓ -45%
Humana Medicare|All Plans $160.74 ↓ -43%
Molina Medicare|All Plans $162.24 ↓ -42%
United Medicare|All Plans $162.24 ↓ -42%
Sound Family Medicine Commercial|All Plans $300.44 ↑ +7%
Molina Commercial|Marketplace Exchange $345.51 ↑ +23%
Coordinated Care Commercial|Ambetter Exchange $351.51 ↑ +25%
Uniform Medical Plan Commercial|All Plans $353.25 ↑ +26%
Cigna Commercial|All Plans $400.60 ↑ +43%
BCBS - Regence Commercial|All Plans $406.13 ↑ +45%
Aetna Commercial|AWH $432.40 ↑ +54%
Aetna Commercial|Sound Health $457.83 ↑ +63%
First Choice Commercial|All Plans $464.19 ↑ +65%
BCBS - Premera Commercial|LifeWise Primary Exchange $501.63 ↑ +79%
Aetna Commercial|All Other Plans $508.70 ↑ +81%
Aetna Commercial|WEA $508.70 ↑ +81%
United Commercial|Cascade Care $521.42 ↑ +86%
United Commercial|All Other Plans $521.42 ↑ +86%
Kaiser Commercial|All Plans $547.23 ↑ +95%
BCBS - Premera Commercial|All Other Plans $554.31 ↑ +98%
Aetna Commercial|Rental $559.57 ↑ +99%
MultiPlan Commercial|All Plans $572.29 ↑ +104%

Visitor-reported prices

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Application finger splntstatic 29130 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $101.50 not published
Swedish Medical Center - First Hill Campus Seattle $204.00 $154.07 – $468.06
Providence Sacred Heart Medical Center and Children's Hospital Spokane $259.70 $148.26 – $377.33
Swedish Medical Center Cherry Hill Seattle $204.00 $154.07 – $360.52
Swedish Issaquah Issaquah $204.00 $154.50 – $342.99
Providence Centralia Hospital Centralia $171.60 $154.07 – $342.71
Providence Mount Carmel Hospital Colville $120.40 not published
Providence St Mary Medical Center Walla Walla $315.70 $113.19 – $274.28

All Washington hospitals for this procedure →