CT heart w/evaluation of calcium without contrast 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

$114.93

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.

$260.40

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.

$102.62 with CHPW vs $394.32 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 $102.62 ↓ -11%
Kaiser Medicare|All Plans $102.62 ↓ -11%
Optum Medicare|All Plans $103.65 ↓ -10%
BCBS - Premera Medicare|All Plans $105.70 ↓ -8%
Aetna Medicare|All Plans $105.70 ↓ -8%
BCBS - Regence Medicare|All Plans $105.70 ↓ -8%
Wellcare Medicare|All Plans $107.57 ↓ -6%
Humana Medicare|All Plans $109.80 ↓ -4%
United Medicare|All Plans $110.83 ↓ -4%
Molina Medicare|All Plans $110.83 ↓ -4%
Cigna Commercial|All Plans $164.06 ↑ +43%
Aetna Commercial|AWH $177.08 ↑ +54%
Aetna Commercial|Sound Health $187.49 ↑ +63%
First Choice Commercial|All Plans $190.10 ↑ +65%
Sound Family Medicine Commercial|All Plans $205.24 ↑ +79%
Aetna Commercial|WEA $208.32 ↑ +81%
Aetna Commercial|All Other Plans $208.32 ↑ +81%
United Commercial|Cascade Care $213.53 ↑ +86%
United Commercial|All Other Plans $213.53 ↑ +86%
Aetna Commercial|Rental $229.16 ↑ +99%
MultiPlan Commercial|All Plans $234.36 ↑ +104%
Molina Commercial|Marketplace Exchange $236.03 ↑ +105%
Coordinated Care Commercial|Ambetter Exchange $240.13 ↑ +109%
Uniform Medical Plan Commercial|All Plans $251.29 ↑ +119%
BCBS - Regence Commercial|All Plans $288.91 ↑ +151%
Kaiser Commercial|All Plans $339.70 ↑ +196%
BCBS - Premera Commercial|LifeWise Primary Exchange $356.85 ↑ +210%
BCBS - Premera Commercial|All Other Plans $394.32 ↑ +243%

Visitor-reported prices

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CT heart w/evaluation of calcium without contrast at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $1,029.42 $93.99 – $106.67
Swedish Medical Center - First Hill Campus Seattle $239.52 $100.77 – $375.11
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,211.00 $96.98 – $287.32
Swedish Medical Center Cherry Hill Seattle $239.52 $100.77 – $363.14
Swedish Issaquah Issaquah $239.52 $101.06 – $375.11
Central Medical Center Seattle $344.00 $89.00 – $89.00
Providence Mount Carmel Hospital Colville $109.20 not published
Providence St Mary Medical Center Walla Walla $131.60 $80.52 – $179.41

All Washington hospitals for this procedure →