Change cystostomy tube; complex 51710 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

$691.44

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.

$1,566.65

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.

$777.88 with Kaiser vs $2,964.31 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
Kaiser Medicare|All Plans $777.88 ↑ +13%
CHPW Medicare|All Plans $777.88 ↑ +13%
Optum Medicare|All Plans $785.66 ↑ +14%
BCBS - Premera Medicare|All Plans $801.22 ↑ +16%
BCBS - Regence Medicare|All Plans $801.22 ↑ +16%
Aetna Medicare|All Plans $801.22 ↑ +16%
Wellcare Medicare|All Plans $808.62 ↑ +17%
Humana Medicare|All Plans $832.33 ↑ +20%
United Medicare|All Plans $840.11 ↑ +22%
Molina Medicare|All Plans $840.11 ↑ +22%
Cigna Commercial|All Plans $986.99 ↑ +43%
Aetna Commercial|AWH $1,065.33 ↑ +54%
Aetna Commercial|Sound Health $1,127.99 ↑ +63%
First Choice Commercial|All Plans $1,143.66 ↑ +65%
Aetna Commercial|WEA $1,253.32 ↑ +81%
Aetna Commercial|All Other Plans $1,253.32 ↑ +81%
United Commercial|Cascade Care $1,284.66 ↑ +86%
United Commercial|All Other Plans $1,284.66 ↑ +86%
Aetna Commercial|Rental $1,378.66 ↑ +99%
MultiPlan Commercial|All Plans $1,409.99 ↑ +104%
Sound Family Medicine Commercial|All Plans $1,555.76 ↑ +125%
Molina Commercial|Marketplace Exchange $1,789.12 ↑ +159%
Coordinated Care Commercial|Ambetter Exchange $1,820.24 ↑ +163%
Uniform Medical Plan Commercial|All Plans $1,889.06 ↑ +173%
BCBS - Regence Commercial|All Plans $2,171.85 ↑ +214%
BCBS - Premera Commercial|LifeWise Primary Exchange $2,682.62 ↑ +288%
Kaiser Commercial|All Plans $2,947.23 ↑ +326%
BCBS - Premera Commercial|All Other Plans $2,964.31 ↑ +329%

Visitor-reported prices

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Change cystostomy tube; complex 51710 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $554.40 not published
Swedish Medical Center - First Hill Campus Seattle $2,006.88 $807.46 – $2,615.69
Providence Sacred Heart Medical Center and Children's Hospital Spokane $3,883.60 $777.03 – $1,977.54
Swedish Medical Center Cherry Hill Seattle $2,006.88 $807.46 – $2,532.21
Swedish Issaquah Issaquah $2,006.88 $809.73 – $2,615.69
Providence Centralia Hospital Centralia $884.52 $807.46 – $3,255.70
Providence Mount Carmel Hospital Colville $664.30 not published
Providence St Mary Medical Center Walla Walla $1,904.70 $605.30 – $2,526.65

All Washington hospitals for this procedure →