Aspa gene 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

$147.28

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.

$333.69

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.

$47.25 with CHPW vs $300.33 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
CHPW Medicare|All Plans $47.25 ↓ -68%
Kaiser Medicare|All Plans $47.25 ↓ -68%
BCBS - Regence Medicare|All Plans $47.25 ↓ -68%
Optum Medicare|All Plans $47.72 ↓ -68%
BCBS - Premera Medicare|All Plans $48.67 ↓ -67%
Aetna Medicare|All Plans $48.67 ↓ -67%
BCBS - Regence Commercial|All Plans $49.61 ↓ -66%
Humana Medicare|All Plans $50.56 ↓ -66%
Molina Medicare|All Plans $51.03 ↓ -65%
Wellcare Medicare|All Plans $51.03 ↓ -65%
United Medicare|All Plans $51.03 ↓ -65%
Uniform Medical Plan Commercial|All Plans $70.88 ↓ -52%
BCBS - Premera Commercial|All Other Plans $82.69 ↓ -44%
Sound Family Medicine Commercial|All Plans $94.50 ↓ -36%
Molina Commercial|Marketplace Exchange $108.67 ↓ -26%
Coordinated Care Commercial|Ambetter Exchange $110.56 ↓ -25%
BCBS - Premera Commercial|LifeWise Primary Exchange $120.02 ↓ -19%
Cigna Commercial|All Plans $122.84 ↓ -17%
Kaiser Commercial|All Plans $222.69 ↑ +51%
Aetna Commercial|AWH $226.91 ↑ +54%
Aetna Commercial|Sound Health $240.26 ↑ +63%
First Choice Commercial|All Plans $243.60 ↑ +65%
Aetna Commercial|WEA $266.96 ↑ +81%
Aetna Commercial|All Other Plans $266.96 ↑ +81%
United Commercial|All Other Plans $273.63 ↑ +86%
United Commercial|Cascade Care $273.63 ↑ +86%
Aetna Commercial|Rental $293.65 ↑ +99%
MultiPlan Commercial|All Plans $300.33 ↑ +104%

Visitor-reported prices

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Aspa gene at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $147.20 $29.00 – $29.00
St. Anne Hospital Burien $101.90 $47.25 – $300.33
St. Anthony Hospital Gig Harbor $101.50 $47.25 – $250.27
MultiCare Auburn Medical Center Auburn $91.60 $30.06 – $92.61
MultiCare Good Samaritan Hospital Puyallup $91.60 $30.75 – $92.61
St. Joseph Medical Center Tacoma $110.52 $47.25 – $250.27
St. Elizabeth Hospital Enumclaw $117.92 $47.25 – $300.33
Virginia Mason Medical Center Seattle $71.91 $33.08 – $147.69

All Washington hospitals for this procedure →