Control nose/throat bleeding w/pst nsl packs 42970 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

$311.35

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.

$705.43

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.

$270.63 with CHPW vs $1,059.98 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 $270.63 ↓ -13%
Kaiser Medicare|All Plans $270.63 ↓ -13%
Optum Medicare|All Plans $273.34 ↓ -12%
BCBS - Premera Medicare|All Plans $278.75 ↓ -10%
Aetna Medicare|All Plans $278.75 ↓ -10%
BCBS - Regence Medicare|All Plans $278.75 ↓ -10%
Wellcare Medicare|All Plans $289.14 ↓ -7%
Humana Medicare|All Plans $289.57 ↓ -7%
United Medicare|All Plans $292.28 ↓ -6%
Molina Medicare|All Plans $292.28 ↓ -6%
Cigna Commercial|All Plans $444.43 ↑ +43%
Aetna Commercial|AWH $479.70 ↑ +54%
Aetna Commercial|Sound Health $507.91 ↑ +63%
First Choice Commercial|All Plans $514.97 ↑ +65%
Sound Family Medicine Commercial|All Plans $541.26 ↑ +74%
Aetna Commercial|WEA $564.35 ↑ +81%
Aetna Commercial|All Other Plans $564.35 ↑ +81%
United Commercial|Cascade Care $578.46 ↑ +86%
United Commercial|All Other Plans $578.46 ↑ +86%
Aetna Commercial|Rental $620.78 ↑ +99%
Molina Commercial|Marketplace Exchange $622.45 ↑ +100%
Coordinated Care Commercial|Ambetter Exchange $633.27 ↑ +103%
MultiPlan Commercial|All Plans $634.89 ↑ +104%
Uniform Medical Plan Commercial|All Plans $675.48 ↑ +117%
BCBS - Regence Commercial|All Plans $776.60 ↑ +149%
BCBS - Premera Commercial|LifeWise Primary Exchange $959.25 ↑ +208%
Kaiser Commercial|All Plans $979.50 ↑ +215%
BCBS - Premera Commercial|All Other Plans $1,059.98 ↑ +240%

Visitor-reported prices

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Control nose/throat bleeding w/pst nsl packs 42970 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $913.50 not published
Providence Mount Carmel Hospital Colville $723.10 not published
MultiCare Valley Hospital Spokane Valley $326.00 $266.41 – $924.84
St. Anne Hospital Burien $215.41 $303.34 – $634.89
St. Anthony Hospital Gig Harbor $214.56 $507.91 – $565.48
St. Joseph Medical Center Tacoma $233.64 $507.91 – $565.48
St. Elizabeth Hospital Enumclaw $249.28 $119.93 – $634.89
Virginia Mason Medical Center Seattle $380.97 $12.02 – $1,783.19

All Washington hospitals for this procedure →