Bypass temp external fem-fem 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

$14,181.70

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.

$32,132.68

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.

$210.94 with Cigna vs $2,726.47 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 $210.94 ↓ -99%
Aetna Commercial|AWH $227.68 ↓ -98%
Aetna Commercial|Sound Health $241.08 ↓ -98%
First Choice Commercial|All Plans $244.42 ↓ -98%
Aetna Commercial|WEA $267.86 ↓ -98%
Aetna Commercial|All Other Plans $267.86 ↓ -98%
United Commercial|Cascade Care $274.56 ↓ -98%
United Commercial|All Other Plans $274.56 ↓ -98%
Aetna Commercial|Rental $294.65 ↓ -98%
MultiPlan Commercial|All Plans $301.34 ↓ -98%
Kaiser Medicare|All Plans $720.53 ↓ -95%
CHPW Medicare|All Plans $720.53 ↓ -95%
Optum Medicare|All Plans $727.74 ↓ -95%
BCBS - Premera Medicare|All Plans $742.15 ↓ -95%
BCBS - Regence Medicare|All Plans $742.15 ↓ -95%
Aetna Medicare|All Plans $742.15 ↓ -95%
Wellcare Medicare|All Plans $743.63 ↓ -95%
Humana Medicare|All Plans $770.97 ↓ -95%
United Medicare|All Plans $778.17 ↓ -95%
Molina Medicare|All Plans $778.17 ↓ -95%
Sound Family Medicine Commercial|All Plans $1,441.06 ↓ -90%
Molina Commercial|Marketplace Exchange $1,657.22 ↓ -88%
Coordinated Care Commercial|Ambetter Exchange $1,686.04 ↓ -88%
Uniform Medical Plan Commercial|All Plans $1,737.23 ↓ -88%
BCBS - Regence Commercial|All Plans $1,997.30 ↓ -86%
BCBS - Premera Commercial|LifeWise Primary Exchange $2,467.02 ↓ -83%
BCBS - Premera Commercial|All Other Plans $2,726.08 ↓ -81%
Kaiser Commercial|All Plans $2,726.47 ↓ -81%

Visitor-reported prices

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Bypass temp external fem-fem at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $13,678.08 $726.41 – $2,963.40
Providence Sacred Heart Medical Center and Children's Hospital Spokane $3,752.00 $699.03 – $1,954.58
Swedish Medical Center Cherry Hill Seattle $13,678.08 $726.41 – $2,868.82
Swedish Issaquah Issaquah $13,678.08 $728.45 – $2,963.40
Providence Centralia Hospital Centralia $151.32 $726.41 – $3,688.48
Providence St Mary Medical Center Walla Walla $154.70 $556.65 – $2,862.52
Kadlec Regional Medical Center Richland $1,806.00 $699.03 – $2,339.19
Providence Holy Family Hospital Spokane $352.80 $699.03 – $6,462.00

All Washington hospitals for this procedure →