Closure of eyelid by suture 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

not published by hospital

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.

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What you pay up front if you don't use insurance.

not published by hospital

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.

$1,128.76 with Kaiser vs $4,393.42 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 $1,128.76
CHPW Medicare|All Plans $1,128.76
Optum Medicare|All Plans $1,140.05
BCBS - Regence Medicare|All Plans $1,162.62
Aetna Medicare|All Plans $1,162.62
BCBS - Premera Medicare|All Plans $1,162.62
Wellcare Medicare|All Plans $1,198.45
Humana Medicare|All Plans $1,207.77
United Medicare|All Plans $1,219.06
Molina Medicare|All Plans $1,219.06
Sound Family Medicine Commercial|All Plans $2,257.52
Molina Commercial|Marketplace Exchange $2,596.15
Coordinated Care Commercial|Ambetter Exchange $2,641.30
Uniform Medical Plan Commercial|All Plans $2,799.77
BCBS - Regence Commercial|All Plans $3,218.91
BCBS - Premera Commercial|LifeWise Primary Exchange $3,975.91
Kaiser Commercial|All Plans $4,112.75
BCBS - Premera Commercial|All Other Plans $4,393.42
First Choice Commercial|All Plans not published by hospital
Aetna Commercial|WEA not published by hospital
Aetna Commercial|Rental not published by hospital
Aetna Commercial|AWH not published by hospital
Aetna Commercial|All Other Plans not published by hospital
United Commercial|Cascade Care not published by hospital
MultiPlan Commercial|All Plans not published by hospital
Cigna Commercial|All Plans not published by hospital
United Commercial|All Other Plans not published by hospital
Aetna Commercial|Sound Health not published by hospital

Visitor-reported prices

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Closure of eyelid by suture at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $1,306.20 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $2,312.80 $1,110.87 – $2,827.15
Providence Centralia Hospital Centralia $2,016.04 $1,154.37 – $4,720.77
Providence Mount Carmel Hospital Colville $1,527.40 not published
Providence St Mary Medical Center Walla Walla $2,235.10 $897.12 – $3,663.64
Kadlec Regional Medical Center Richland $2,198.70 $157.77 – $2,993.86
Providence Holy Family Hospital Spokane $2,723.70 $1,110.87 – $3,379.00
Providence St Peter Hospital Olympia $2,016.04 $974.52 – $3,870.00

All Washington hospitals for this procedure →