Culture afb any source 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

$97.53

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.

$220.98

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.

$10.80 with Kaiser vs $198.89 with MultiPlan — 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
Kaiser Medicare|All Plans $10.80 ↓ -89%
CHPW Medicare|All Plans $10.80 ↓ -89%
BCBS - Regence Medicare|All Plans $10.80 ↓ -89%
Optum Medicare|All Plans $10.91 ↓ -89%
BCBS - Premera Medicare|All Plans $11.12 ↓ -89%
Aetna Medicare|All Plans $11.12 ↓ -89%
BCBS - Regence Commercial|All Plans $11.34 ↓ -88%
Humana Medicare|All Plans $11.56 ↓ -88%
Wellcare Medicare|All Plans $11.66 ↓ -88%
Molina Medicare|All Plans $11.66 ↓ -88%
United Medicare|All Plans $11.66 ↓ -88%
Uniform Medical Plan Commercial|All Plans $16.20 ↓ -83%
BCBS - Premera Commercial|All Other Plans $18.90 ↓ -81%
Sound Family Medicine Commercial|All Plans $21.60 ↓ -78%
Molina Commercial|Marketplace Exchange $24.84 ↓ -75%
Coordinated Care Commercial|Ambetter Exchange $25.27 ↓ -74%
BCBS - Premera Commercial|LifeWise Primary Exchange $27.43 ↓ -72%
Cigna Commercial|All Plans $34.68 ↓ -64%
Aetna Commercial|AWH $150.27 ↑ +54%
Aetna Commercial|Sound Health $159.11 ↑ +63%
First Choice Commercial|All Plans $161.32 ↑ +65%
Aetna Commercial|All Other Plans $176.79 ↑ +81%
Aetna Commercial|WEA $176.79 ↑ +81%
United Commercial|Cascade Care $181.21 ↑ +86%
United Commercial|All Other Plans $181.21 ↑ +86%
Aetna Commercial|Rental $194.47 ↑ +99%
MultiPlan Commercial|All Plans $198.89 ↑ +104%

Visitor-reported prices

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Culture afb any source at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $266.49 $10.80 – $11.88
Providence St Joseph Hospital Chewelah $145.60 not published
Swedish Medical Center - First Hill Campus Seattle $68.64 $9.72 – $50.76
Providence Sacred Heart Medical Center and Children's Hospital Spokane $379.40 $10.80 – $38.88
Swedish Medical Center Cherry Hill Seattle $68.64 $9.72 – $49.14
Swedish Issaquah Issaquah $68.64 $9.72 – $50.76
Central Medical Center Seattle $116.80 $8.00 – $8.00
Providence Centralia Hospital Centralia $99.32 $10.80 – $67.28

All Washington hospitals for this procedure →