Cauterization chemical granulation tissue 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

$302.75

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.

$685.95

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.

$231.57 with CHPW vs $868.75 with BCBS - Premera — 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 $231.57 ↓ -24%
Kaiser Medicare|All Plans $231.57 ↓ -24%
Optum Medicare|All Plans $233.89 ↓ -23%
Wellcare Medicare|All Plans $236.98 ↓ -22%
BCBS - Premera Medicare|All Plans $238.52 ↓ -21%
Aetna Medicare|All Plans $238.52 ↓ -21%
BCBS - Regence Medicare|All Plans $238.52 ↓ -21%
Humana Medicare|All Plans $247.78 ↓ -18%
United Medicare|All Plans $250.10 ↓ -17%
Molina Medicare|All Plans $250.10 ↓ -17%
Cigna Commercial|All Plans $432.15 ↑ +43%
Sound Family Medicine Commercial|All Plans $463.14 ↑ +53%
Aetna Commercial|AWH $466.45 ↑ +54%
Aetna Commercial|Sound Health $493.89 ↑ +63%
First Choice Commercial|All Plans $500.75 ↑ +65%
Molina Commercial|Marketplace Exchange $532.61 ↑ +76%
Coordinated Care Commercial|Ambetter Exchange $541.87 ↑ +79%
Aetna Commercial|WEA $548.76 ↑ +81%
Aetna Commercial|All Other Plans $548.76 ↑ +81%
Uniform Medical Plan Commercial|All Plans $553.63 ↑ +83%
United Commercial|Cascade Care $562.48 ↑ +86%
United Commercial|All Other Plans $562.48 ↑ +86%
Aetna Commercial|Rental $603.64 ↑ +99%
MultiPlan Commercial|All Plans $617.36 ↑ +104%
BCBS - Regence Commercial|All Plans $636.51 ↑ +110%
BCBS - Premera Commercial|LifeWise Primary Exchange $786.19 ↑ +160%
Kaiser Commercial|All Plans $851.07 ↑ +181%
BCBS - Premera Commercial|All Other Plans $868.75 ↑ +187%

Visitor-reported prices

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Cauterization chemical granulation tissue at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $134.40 not published
Swedish Medical Center - First Hill Campus Seattle $551.04 $232.33 – $821.23
Providence Sacred Heart Medical Center and Children's Hospital Spokane $520.10 $223.58 – $569.00
Swedish Medical Center Cherry Hill Seattle $551.04 $232.33 – $795.02
Swedish Issaquah Issaquah $551.04 $232.98 – $821.23
Central Medical Center Seattle $501.60 not published
Providence Centralia Hospital Centralia $468.52 $232.33 – $1,022.17
Providence Mount Carmel Hospital Colville $160.30 not published

All Washington hospitals for this procedure →