Chemodenerv trunk musc 1-5 64646 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

$599.10

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.

$1,357.43

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.

$807.08 with Kaiser vs $3,036.77 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
Kaiser Medicare|All Plans $807.08 ↑ +35%
CHPW Medicare|All Plans $807.08 ↑ +35%
Optum Medicare|All Plans $815.15 ↑ +36%
Wellcare Medicare|All Plans $818.61 ↑ +37%
BCBS - Premera Medicare|All Plans $831.29 ↑ +39%
Aetna Medicare|All Plans $831.29 ↑ +39%
BCBS - Regence Medicare|All Plans $831.29 ↑ +39%
Cigna Commercial|All Plans $855.19 ↑ +43%
Humana Medicare|All Plans $863.58 ↑ +44%
United Medicare|All Plans $871.65 ↑ +45%
Molina Medicare|All Plans $871.65 ↑ +45%
Aetna Commercial|AWH $923.06 ↑ +54%
Aetna Commercial|Sound Health $977.35 ↑ +63%
First Choice Commercial|All Plans $990.93 ↑ +65%
Aetna Commercial|WEA $1,085.95 ↑ +81%
Aetna Commercial|All Other Plans $1,085.95 ↑ +81%
United Commercial|Cascade Care $1,113.10 ↑ +86%
United Commercial|All Other Plans $1,113.10 ↑ +86%
Aetna Commercial|Rental $1,194.54 ↑ +99%
MultiPlan Commercial|All Plans $1,221.69 ↑ +104%
Sound Family Medicine Commercial|All Plans $1,614.16 ↑ +169%
Molina Commercial|Marketplace Exchange $1,856.28 ↑ +210%
Coordinated Care Commercial|Ambetter Exchange $1,888.57 ↑ +215%
Uniform Medical Plan Commercial|All Plans $1,912.39 ↑ +219%
BCBS - Regence Commercial|All Plans $2,198.68 ↑ +267%
BCBS - Premera Commercial|LifeWise Primary Exchange $2,715.75 ↑ +353%
BCBS - Premera Commercial|All Other Plans $3,000.93 ↑ +401%
Kaiser Commercial|All Plans $3,036.77 ↑ +407%

Visitor-reported prices

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Chemodenerv trunk musc 1-5 64646 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $2,047.68 $817.40 – $2,937.74
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,110.90 $786.59 – $2,001.88
Swedish Medical Center Cherry Hill Seattle $2,047.68 $817.40 – $2,843.98
Swedish Issaquah Issaquah $2,047.68 $819.70 – $2,937.74
Central Medical Center Seattle $1,557.60 not published
MultiCare Valley Hospital Spokane Valley $1,150.40 $295.29 – $2,867.31
St. Anne Hospital Burien $414.50 $583.70 – $1,221.69
St. Anthony Hospital Gig Harbor $412.87 $977.35 – $1,753.18

All Washington hospitals for this procedure →