Ctrl nosebld postir subsq 30906 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

$410.62

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.

$930.37

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 ↓ -34%
Kaiser Medicare|All Plans $270.63 ↓ -34%
Optum Medicare|All Plans $273.34 ↓ -33%
BCBS - Regence Medicare|All Plans $278.75 ↓ -32%
Aetna Medicare|All Plans $278.75 ↓ -32%
BCBS - Premera Medicare|All Plans $278.75 ↓ -32%
Wellcare Medicare|All Plans $289.14 ↓ -30%
Humana Medicare|All Plans $289.57 ↓ -29%
Molina Medicare|All Plans $292.28 ↓ -29%
United Medicare|All Plans $292.28 ↓ -29%
Sound Family Medicine Commercial|All Plans $541.26 ↑ +32%
Cigna Commercial|All Plans $586.14 ↑ +43%
Molina Commercial|Marketplace Exchange $622.45 ↑ +52%
Aetna Commercial|AWH $632.66 ↑ +54%
Coordinated Care Commercial|Ambetter Exchange $633.27 ↑ +54%
Aetna Commercial|Sound Health $669.87 ↑ +63%
Uniform Medical Plan Commercial|All Plans $675.48 ↑ +65%
First Choice Commercial|All Plans $679.18 ↑ +65%
Aetna Commercial|WEA $744.30 ↑ +81%
Aetna Commercial|All Other Plans $744.30 ↑ +81%
United Commercial|All Other Plans $762.91 ↑ +86%
United Commercial|Cascade Care $762.91 ↑ +86%
BCBS - Regence Commercial|All Plans $776.60 ↑ +89%
Aetna Commercial|Rental $818.73 ↑ +99%
MultiPlan Commercial|All Plans $837.34 ↑ +104%
BCBS - Premera Commercial|LifeWise Primary Exchange $959.25 ↑ +134%
Kaiser Commercial|All Plans $979.50 ↑ +139%
BCBS - Premera Commercial|All Other Plans $1,059.98 ↑ +158%

Visitor-reported prices

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Ctrl nosebld postir subsq 30906 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $95.90 not published
Swedish Medical Center - First Hill Campus Seattle $636.48 $274.27 – $957.11
Providence Sacred Heart Medical Center and Children's Hospital Spokane $314.30 $263.93 – $671.71
Swedish Medical Center Cherry Hill Seattle $636.48 $274.27 – $926.56
Swedish Issaquah Issaquah $636.48 $275.04 – $957.11
Providence Centralia Hospital Centralia $479.96 $274.27 – $1,191.29
Providence Mount Carmel Hospital Colville $114.80 not published
Providence St Mary Medical Center Walla Walla $422.80 $216.44 – $924.53

All Washington hospitals for this procedure →