Debride skin bone at fx site 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

$1,587.29

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.

$3,596.45

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.

$2,265.77 with Cigna vs $12,330.57 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
Cigna Commercial|All Plans $2,265.77 ↑ +43%
Aetna Commercial|AWH $2,445.59 ↑ +54%
Aetna Commercial|Sound Health $2,589.45 ↑ +63%
First Choice Commercial|All Plans $2,625.41 ↑ +65%
Aetna Commercial|All Other Plans $2,877.16 ↑ +81%
Aetna Commercial|WEA $2,877.16 ↑ +81%
United Commercial|Cascade Care $2,949.09 ↑ +86%
United Commercial|All Other Plans $2,949.09 ↑ +86%
Aetna Commercial|Rental $3,164.88 ↑ +99%
MultiPlan Commercial|All Plans $3,236.81 ↑ +104%
Kaiser Medicare|All Plans $3,335.49 ↑ +110%
CHPW Medicare|All Plans $3,335.49 ↑ +110%
Wellcare Medicare|All Plans $3,363.58 ↑ +112%
Optum Medicare|All Plans $3,368.84 ↑ +112%
Aetna Medicare|All Plans $3,435.55 ↑ +116%
BCBS - Regence Medicare|All Plans $3,435.55 ↑ +116%
BCBS - Premera Medicare|All Plans $3,435.55 ↑ +116%
Humana Medicare|All Plans $3,568.97 ↑ +125%
United Medicare|All Plans $3,602.33 ↑ +127%
Molina Medicare|All Plans $3,602.33 ↑ +127%
Sound Family Medicine Commercial|All Plans $6,670.98 ↑ +320%
Molina Commercial|Marketplace Exchange $7,671.63 ↑ +383%
Coordinated Care Commercial|Ambetter Exchange $7,805.05 ↑ +392%
Uniform Medical Plan Commercial|All Plans $7,857.81 ↑ +395%
BCBS - Regence Commercial|All Plans $9,034.16 ↑ +469%
BCBS - Premera Commercial|LifeWise Primary Exchange $11,158.80 ↑ +603%
Kaiser Commercial|All Plans $12,174.86 ↑ +667%
BCBS - Premera Commercial|All Other Plans $12,330.57 ↑ +677%

Visitor-reported prices

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Debride skin bone at fx site at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $1,030.40 not published
Swedish Medical Center - First Hill Campus Seattle $4,420.32 $3,363.63 – $11,292.99
Providence Sacred Heart Medical Center and Children's Hospital Spokane $2,483.60 $3,236.85 – $8,237.79
Swedish Medical Center Cherry Hill Seattle $4,420.32 $3,363.63 – $10,875.59
Swedish Issaquah Issaquah $4,420.32 $3,373.07 – $11,292.99
Providence Centralia Hospital Centralia $6,934.72 $3,363.63 – $13,565.51
Providence Mount Carmel Hospital Colville $1,155.00 not published
Providence St Mary Medical Center Walla Walla $3,221.40 $2,517.84 – $5,988.18

All Washington hospitals for this procedure →