Diagnostic laryngoscopy 31575 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

$411.34

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.

$931.99

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.

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The hospital's undiscounted list price — almost no one pays this.

$226.25 with CHPW vs $859.56 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 $226.25 ↓ -45%
Kaiser Medicare|All Plans $226.25 ↓ -45%
Optum Medicare|All Plans $228.51 ↓ -44%
BCBS - Regence Medicare|All Plans $233.04 ↓ -43%
Aetna Medicare|All Plans $233.04 ↓ -43%
BCBS - Premera Medicare|All Plans $233.04 ↓ -43%
Wellcare Medicare|All Plans $234.48 ↓ -43%
Humana Medicare|All Plans $242.09 ↓ -41%
United Medicare|All Plans $244.35 ↓ -41%
Molina Medicare|All Plans $244.35 ↓ -41%
Sound Family Medicine Commercial|All Plans $452.50 ↑ +10%
Cigna Commercial|All Plans $467.57 ↑ +14%
Aetna Commercial|AWH $504.67 ↑ +23%
Molina Commercial|Marketplace Exchange $520.38 ↑ +27%
Coordinated Care Commercial|Ambetter Exchange $529.42 ↑ +29%
Aetna Commercial|Sound Health $534.36 ↑ +30%
First Choice Commercial|All Plans $541.78 ↑ +32%
Uniform Medical Plan Commercial|All Plans $547.77 ↑ +33%
Aetna Commercial|WEA $593.73 ↑ +44%
Aetna Commercial|All Other Plans $593.73 ↑ +44%
United Commercial|Cascade Care $608.58 ↑ +48%
United Commercial|All Other Plans $608.58 ↑ +48%
BCBS - Regence Commercial|All Plans $629.77 ↑ +53%
Aetna Commercial|Rental $653.11 ↑ +59%
MultiPlan Commercial|All Plans $667.95 ↑ +62%
BCBS - Premera Commercial|LifeWise Primary Exchange $777.87 ↑ +89%
Kaiser Commercial|All Plans $842.45 ↑ +105%
BCBS - Premera Commercial|All Other Plans $859.56 ↑ +109%

Visitor-reported prices

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Diagnostic laryngoscopy 31575 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $220.50 not published
Swedish Medical Center - First Hill Campus Seattle $426.72 $231.14 – $735.79
Providence Sacred Heart Medical Center and Children's Hospital Spokane $291.20 $222.43 – $566.09
Swedish Medical Center Cherry Hill Seattle $426.72 $231.14 – $712.30
Swedish Issaquah Issaquah $426.72 $231.79 – $735.79
Central Medical Center Seattle $490.40 not published
Providence Centralia Hospital Centralia $601.64 $231.14 – $915.82
Providence Mount Carmel Hospital Colville $243.60 not published

All Washington hospitals for this procedure →