Clos txnose fx without stablz 21315 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

$1,189.42

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.

$2,694.96

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.

$1,697.83 with Cigna vs $6,617.89 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
Cigna Commercial|All Plans $1,697.83 ↑ +43%
Kaiser Medicare|All Plans $1,726.31 ↑ +45%
CHPW Medicare|All Plans $1,726.31 ↑ +45%
Optum Medicare|All Plans $1,743.57 ↑ +47%
BCBS - Premera Medicare|All Plans $1,778.10 ↑ +49%
Aetna Medicare|All Plans $1,778.10 ↑ +49%
BCBS - Regence Medicare|All Plans $1,778.10 ↑ +49%
Wellcare Medicare|All Plans $1,805.25 ↑ +52%
Aetna Commercial|AWH $1,832.58 ↑ +54%
Humana Medicare|All Plans $1,847.15 ↑ +55%
Molina Medicare|All Plans $1,864.41 ↑ +57%
United Medicare|All Plans $1,864.41 ↑ +57%
Aetna Commercial|Sound Health $1,940.38 ↑ +63%
First Choice Commercial|All Plans $1,967.33 ↑ +65%
Aetna Commercial|WEA $2,155.97 ↑ +81%
Aetna Commercial|All Other Plans $2,155.97 ↑ +81%
United Commercial|Cascade Care $2,209.87 ↑ +86%
United Commercial|All Other Plans $2,209.87 ↑ +86%
Aetna Commercial|Rental $2,371.57 ↑ +99%
MultiPlan Commercial|All Plans $2,425.47 ↑ +104%
Sound Family Medicine Commercial|All Plans $3,452.62 ↑ +190%
Molina Commercial|Marketplace Exchange $3,970.51 ↑ +234%
Coordinated Care Commercial|Ambetter Exchange $4,039.57 ↑ +240%
Uniform Medical Plan Commercial|All Plans $4,217.33 ↑ +255%
BCBS - Regence Commercial|All Plans $4,848.68 ↑ +308%
BCBS - Premera Commercial|LifeWise Primary Exchange $5,988.99 ↑ +404%
Kaiser Commercial|All Plans $6,542.30 ↑ +450%
BCBS - Premera Commercial|All Other Plans $6,617.89 ↑ +456%

Visitor-reported prices

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Clos txnose fx without stablz 21315 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $1,505.70 not published
Swedish Medical Center - First Hill Campus Seattle $3,697.92 $1,796.72 – $6,571.29
Providence Sacred Heart Medical Center and Children's Hospital Spokane $3,968.30 $1,729.00 – $4,400.30
Swedish Medical Center Cherry Hill Seattle $3,697.92 $1,796.72 – $6,328.40
Swedish Issaquah Issaquah $3,697.92 $1,801.76 – $6,571.29
Providence Centralia Hospital Centralia $3,480.36 $1,796.72 – $7,893.64
Providence Mount Carmel Hospital Colville $1,803.20 not published
Providence St Mary Medical Center Walla Walla $2,520.00 $1,351.34 – $3,198.65

All Washington hospitals for this procedure →