C-1 esterase, berinert 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

$13,229.43

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.

$29,975.05

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.

$67.77 with BCBS - Regence vs $26,977.55 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
BCBS - Regence Commercial|All Plans $67.77 ↓ -99%
Uniform Medical Plan Commercial|All Plans $67.77 ↓ -99%
Wellcare Medicare|All Plans $84.93 ↓ -99%
CHPW Medicare|All Plans $88.41 ↓ -99%
Kaiser Medicare|All Plans $88.41 ↓ -99%
Optum Medicare|All Plans $89.29 ↓ -99%
BCBS - Premera Medicare|All Plans $91.06 ↓ -99%
Aetna Medicare|All Plans $91.06 ↓ -99%
BCBS - Regence Medicare|All Plans $91.06 ↓ -99%
Humana Medicare|All Plans $94.60 ↓ -99%
United Medicare|All Plans $95.48 ↓ -99%
Molina Medicare|All Plans $95.48 ↓ -99%
Aetna Commercial|WEA $97.88 ↓ -99%
Aetna Commercial|Sound Health $128.81 ↓ -99%
Aetna Commercial|All Other Plans $135.54 ↓ -99%
Aetna Commercial|AWH $135.54 ↓ -99%
Sound Family Medicine Commercial|All Plans $176.82 ↓ -99%
Molina Commercial|Marketplace Exchange $194.21 ↓ -99%
Cigna Commercial|All Plans $195.76 ↓ -99%
Coordinated Care Commercial|Ambetter Exchange $206.88 ↓ -98%
BCBS - Premera Commercial|LifeWise Primary Exchange $208.00 ↓ -98%
BCBS - Premera Commercial|All Other Plans $225.25 ↓ -98%
Kaiser Commercial|All Plans $268.00 ↓ -98%
First Choice Commercial|All Plans $21,881.79 ↑ +65%
United Commercial|Cascade Care $24,579.55 ↑ +86%
United Commercial|All Other Plans $24,579.55 ↑ +86%
Aetna Commercial|Rental $26,378.05 ↑ +99%
MultiPlan Commercial|All Plans $26,977.55 ↑ +104%

Visitor-reported prices

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C-1 esterase, berinert at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $10,149.69 $67.77 – $149.41
Providence Sacred Heart Medical Center and Children's Hospital Spokane $10,430.17 $50.20 – $140.69
Swedish Medical Center Cherry Hill Seattle $10,149.69 $67.77 – $140.69
Swedish Issaquah Issaquah $10,149.69 $67.77 – $149.41
Swedish Edmonds Hospital Edmonds $10,149.69 $70.90 – $140.69
Providence St Mary Medical Center Walla Walla $11,222.65 $67.77 – $419.05
Kadlec Regional Medical Center Richland $8,129.39 $64.36 – $140.69
Providence Holy Family Hospital Spokane $10,430.17 $64.36 – $159.40

All Washington hospitals for this procedure →