Chemodenervation anal musc 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

$1,732.53

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.

$3,925.53

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.

$1,374.12 with Kaiser vs $5,120.89 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 $1,374.12 ↓ -21%
CHPW Medicare|All Plans $1,374.12 ↓ -21%
Optum Medicare|All Plans $1,387.86 ↓ -20%
Wellcare Medicare|All Plans $1,396.89 ↓ -19%
BCBS - Premera Medicare|All Plans $1,415.34 ↓ -18%
Aetna Medicare|All Plans $1,415.34 ↓ -18%
BCBS - Regence Medicare|All Plans $1,415.34 ↓ -18%
Humana Medicare|All Plans $1,470.31 ↓ -15%
United Medicare|All Plans $1,484.05 ↓ -14%
Molina Medicare|All Plans $1,484.05 ↓ -14%
Cigna Commercial|All Plans $2,473.09 ↑ +43%
Aetna Commercial|AWH $2,669.37 ↑ +54%
Sound Family Medicine Commercial|All Plans $2,748.24 ↑ +59%
Aetna Commercial|Sound Health $2,826.39 ↑ +63%
First Choice Commercial|All Plans $2,865.64 ↑ +65%
Aetna Commercial|WEA $3,140.43 ↑ +81%
Aetna Commercial|All Other Plans $3,140.43 ↑ +81%
Molina Commercial|Marketplace Exchange $3,160.48 ↑ +82%
Coordinated Care Commercial|Ambetter Exchange $3,215.44 ↑ +86%
United Commercial|Cascade Care $3,218.94 ↑ +86%
United Commercial|All Other Plans $3,218.94 ↑ +86%
Uniform Medical Plan Commercial|All Plans $3,263.34 ↑ +88%
Aetna Commercial|Rental $3,454.47 ↑ +99%
MultiPlan Commercial|All Plans $3,532.98 ↑ +104%
BCBS - Regence Commercial|All Plans $3,751.88 ↑ +117%
BCBS - Premera Commercial|LifeWise Primary Exchange $4,634.25 ↑ +167%
Kaiser Commercial|All Plans $5,103.75 ↑ +195%
BCBS - Premera Commercial|All Other Plans $5,120.89 ↑ +196%

Visitor-reported prices

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Chemodenervation anal musc at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $2,535.40 not published
Swedish Medical Center - First Hill Campus Seattle $3,094.08 $1,385.70 – $4,719.83
Swedish Medical Center Cherry Hill Seattle $3,094.08 $1,385.70 – $4,569.20
Swedish Issaquah Issaquah $3,094.08 $1,389.59 – $4,719.83
St. Anne Hospital Burien $1,198.69 $1,687.98 – $3,532.98
St. Anthony Hospital Gig Harbor $1,193.95 $2,826.39 – $2,946.49
St. Joseph Medical Center Tacoma $1,300.13 $2,826.39 – $2,946.49
St. Elizabeth Hospital Enumclaw $1,387.15 $667.35 – $3,532.98

All Washington hospitals for this procedure →