Conjugated estrogens 25 mg solution for injection 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

$608.56

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.

$1,378.85

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.

$384.03 with BCBS - Regence vs $1,570.06 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
BCBS - Regence Commercial|All Plans $384.03 ↓ -37%
Uniform Medical Plan Commercial|All Plans $384.03 ↓ -37%
Kaiser Medicare|All Plans $455.38 ↓ -25%
CHPW Medicare|All Plans $455.38 ↓ -25%
Optum Medicare|All Plans $459.93 ↓ -24%
BCBS - Premera Medicare|All Plans $469.04 ↓ -23%
BCBS - Regence Medicare|All Plans $469.04 ↓ -23%
Aetna Medicare|All Plans $469.04 ↓ -23%
Wellcare Medicare|All Plans $475.57 ↓ -22%
Humana Medicare|All Plans $487.26 ↓ -20%
United Medicare|All Plans $491.81 ↓ -19%
Molina Medicare|All Plans $491.81 ↓ -19%
Aetna Commercial|WEA $617.26 ↑ +1%
Aetna Commercial|Sound Health $744.95 ↑ +22%
Aetna Commercial|All Other Plans $768.06 ↑ +26%
Aetna Commercial|AWH $768.06 ↑ +26%
Cigna Commercial|All Plans $868.68 ↑ +43%
Sound Family Medicine Commercial|All Plans $910.76 ↑ +50%
First Choice Commercial|All Plans $1,006.57 ↑ +65%
Molina Commercial|Marketplace Exchange $1,026.38 ↑ +69%
Coordinated Care Commercial|Ambetter Exchange $1,065.59 ↑ +75%
United Commercial|Cascade Care $1,130.66 ↑ +86%
United Commercial|All Other Plans $1,130.66 ↑ +86%
BCBS - Premera Commercial|LifeWise Primary Exchange $1,202.78 ↑ +98%
Aetna Commercial|Rental $1,213.39 ↑ +99%
MultiPlan Commercial|All Plans $1,240.97 ↑ +104%
BCBS - Premera Commercial|All Other Plans $1,302.51 ↑ +114%
Kaiser Commercial|All Plans $1,570.06 ↑ +158%

Visitor-reported prices

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Conjugated estrogens 25 mg solution for injection at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $960.38 $384.03 – $898.71
Providence Sacred Heart Medical Center and Children's Hospital Spokane $986.92 $290.27 – $748.93
Swedish Medical Center Cherry Hill Seattle $960.38 $384.03 – $724.68
Swedish Issaquah Issaquah $960.38 $384.03 – $898.71
Central Medical Center Seattle $507.53 $390.74 – $390.74
Providence Centralia Hospital Centralia $1,254.41 $384.03 – $2,456.16
Providence Mount Carmel Hospital Colville $986.92 not published
Swedish Edmonds Hospital Edmonds $960.38 $391.72 – $724.68

All Washington hospitals for this procedure →