Culture typing added method 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

$35.49

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.

$80.40

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.

$7.74 with Kaiser vs $72.36 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 $7.74 ↓ -78%
CHPW Medicare|All Plans $7.74 ↓ -78%
BCBS - Regence Medicare|All Plans $7.74 ↓ -78%
Optum Medicare|All Plans $7.82 ↓ -78%
BCBS - Premera Medicare|All Plans $7.97 ↓ -78%
Aetna Medicare|All Plans $7.97 ↓ -78%
BCBS - Regence Commercial|All Plans $8.13 ↓ -77%
Humana Medicare|All Plans $8.28 ↓ -77%
Wellcare Medicare|All Plans $8.36 ↓ -76%
Molina Medicare|All Plans $8.36 ↓ -76%
United Medicare|All Plans $8.36 ↓ -76%
Uniform Medical Plan Commercial|All Plans $11.61 ↓ -67%
BCBS - Premera Commercial|All Other Plans $13.55 ↓ -62%
Sound Family Medicine Commercial|All Plans $15.48 ↓ -56%
Molina Commercial|Marketplace Exchange $17.80 ↓ -50%
Coordinated Care Commercial|Ambetter Exchange $18.11 ↓ -49%
BCBS - Premera Commercial|LifeWise Primary Exchange $19.66 ↓ -45%
Cigna Commercial|All Plans $20.12 ↓ -43%
Aetna Commercial|AWH $54.68 ↑ +54%
Aetna Commercial|Sound Health $57.89 ↑ +63%
First Choice Commercial|All Plans $58.70 ↑ +65%
Aetna Commercial|All Other Plans $64.32 ↑ +81%
Aetna Commercial|WEA $64.32 ↑ +81%
United Commercial|Cascade Care $65.93 ↑ +86%
United Commercial|All Other Plans $65.93 ↑ +86%
Aetna Commercial|Rental $70.76 ↑ +99%
MultiPlan Commercial|All Plans $72.36 ↑ +104%

Visitor-reported prices

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Culture typing added method at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $34.40 $6.00 – $6.00
MultiCare Valley Hospital Spokane Valley $5.20 $4.89 – $14.03
St. Anne Hospital Burien $24.56 $7.74 – $72.36
St. Anthony Hospital Gig Harbor $24.46 $7.74 – $60.30
MultiCare Auburn Medical Center Auburn $14.00 $5.00 – $15.17
MultiCare Good Samaritan Hospital Puyallup $14.00 $5.12 – $15.17
St. Joseph Medical Center Tacoma $26.63 $7.74 – $60.30
St. Elizabeth Hospital Enumclaw $28.42 $7.74 – $72.36

All Washington hospitals for this procedure →