Artery x-rays spine 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

$4,281.76

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.

$9,701.54

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.

$6,111.98 with Cigna vs $24,223.69 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 $6,111.98 ↑ +43%
Kaiser Medicare|All Plans $6,299.91 ↑ +47%
CHPW Medicare|All Plans $6,299.91 ↑ +47%
Optum Medicare|All Plans $6,362.91 ↑ +49%
BCBS - Premera Medicare|All Plans $6,488.91 ↑ +52%
Aetna Medicare|All Plans $6,488.91 ↑ +52%
BCBS - Regence Medicare|All Plans $6,488.91 ↑ +52%
Wellcare Medicare|All Plans $6,505.05 ↑ +52%
Aetna Commercial|AWH $6,597.05 ↑ +54%
Humana Medicare|All Plans $6,740.90 ↑ +57%
Molina Medicare|All Plans $6,803.90 ↑ +59%
United Medicare|All Plans $6,803.90 ↑ +59%
Aetna Commercial|Sound Health $6,985.11 ↑ +63%
First Choice Commercial|All Plans $7,082.13 ↑ +65%
Aetna Commercial|WEA $7,761.24 ↑ +81%
Aetna Commercial|All Other Plans $7,761.24 ↑ +81%
United Commercial|Cascade Care $7,955.27 ↑ +86%
United Commercial|All Other Plans $7,955.27 ↑ +86%
Aetna Commercial|Rental $8,537.36 ↑ +99%
MultiPlan Commercial|All Plans $8,731.39 ↑ +104%
Sound Family Medicine Commercial|All Plans $12,599.82 ↑ +194%
Molina Commercial|Marketplace Exchange $14,489.79 ↑ +238%
Coordinated Care Commercial|Ambetter Exchange $14,741.79 ↑ +244%
Uniform Medical Plan Commercial|All Plans $15,196.73 ↑ +255%
BCBS - Regence Commercial|All Plans $17,471.74 ↑ +308%
BCBS - Premera Commercial|LifeWise Primary Exchange $21,580.75 ↑ +404%
BCBS - Premera Commercial|All Other Plans $23,846.92 ↑ +457%
Kaiser Commercial|All Plans $24,223.69 ↑ +466%

Visitor-reported prices

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Artery x-rays spine at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $13,007.04 $6,443.62 – $22,383.45
Providence Sacred Heart Medical Center and Children's Hospital Spokane $8,638.70 $1,459.13 – $15,780.92
Swedish Medical Center Cherry Hill Seattle $13,007.04 $6,443.62 – $21,556.13
Swedish Issaquah Issaquah $13,007.04 $580.76 – $22,383.45
Central Medical Center Seattle $18,640.00 $5,406.00 – $5,406.00
Providence St Mary Medical Center Walla Walla $3,905.30 $775.53 – $11,471.40
Kadlec Regional Medical Center Richland $13,710.20 $416.51 – $17,051.86
Providence Holy Family Hospital Spokane $8,827.00 $676.92 – $18,821.15

All Washington hospitals for this procedure →