Clsd tx mandibular fx without manip 21450 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

$444.39

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.

$1,006.87

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.

$593.49 with CHPW vs $2,387.60 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
CHPW Medicare|All Plans $593.49 ↑ +34%
Kaiser Medicare|All Plans $593.49 ↑ +34%
Optum Medicare|All Plans $599.42 ↑ +35%
BCBS - Premera Medicare|All Plans $611.29 ↑ +38%
Aetna Medicare|All Plans $611.29 ↑ +38%
BCBS - Regence Medicare|All Plans $611.29 ↑ +38%
Cigna Commercial|All Plans $634.33 ↑ +43%
Humana Medicare|All Plans $635.03 ↑ +43%
United Medicare|All Plans $640.97 ↑ +44%
Molina Medicare|All Plans $640.97 ↑ +44%
Wellcare Medicare|All Plans $651.29 ↑ +47%
Aetna Commercial|AWH $684.68 ↑ +54%
Aetna Commercial|Sound Health $724.95 ↑ +63%
First Choice Commercial|All Plans $735.02 ↑ +65%
Aetna Commercial|WEA $805.50 ↑ +81%
Aetna Commercial|All Other Plans $805.50 ↑ +81%
United Commercial|Cascade Care $825.64 ↑ +86%
United Commercial|All Other Plans $825.64 ↑ +86%
Aetna Commercial|Rental $886.05 ↑ +99%
MultiPlan Commercial|All Plans $906.19 ↑ +104%
Sound Family Medicine Commercial|All Plans $1,186.98 ↑ +167%
Molina Commercial|Marketplace Exchange $1,365.03 ↑ +207%
Coordinated Care Commercial|Ambetter Exchange $1,388.77 ↑ +213%
Uniform Medical Plan Commercial|All Plans $1,521.53 ↑ +242%
BCBS - Regence Commercial|All Plans $1,749.30 ↑ +294%
Kaiser Commercial|All Plans $2,152.99 ↑ +384%
BCBS - Premera Commercial|LifeWise Primary Exchange $2,160.71 ↑ +386%
BCBS - Premera Commercial|All Other Plans $2,387.60 ↑ +437%

Visitor-reported prices

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Clsd tx mandibular fx without manip 21450 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $1,100.40 not published
Swedish Medical Center - First Hill Campus Seattle $1,584.48 $624.54 – $2,076.08
Providence Sacred Heart Medical Center and Children's Hospital Spokane $919.80 $601.00 – $1,529.54
Swedish Medical Center Cherry Hill Seattle $1,584.48 $624.54 – $2,009.83
Swedish Issaquah Issaquah $1,584.48 $626.29 – $2,076.08
Providence Centralia Hospital Centralia $1,055.08 $624.54 – $2,584.06
Providence Mount Carmel Hospital Colville $879.20 not published
Kadlec Regional Medical Center Richland $2,941.40 $601.00 – $1,638.78

All Washington hospitals for this procedure →