Dialysis one evaluation 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

$2,888.46

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.

$6,544.63

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.

$496.26 with CHPW vs $1,922.00 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 $496.26 ↓ -83%
Kaiser Medicare|All Plans $496.26 ↓ -83%
Optum Medicare|All Plans $501.22 ↓ -83%
BCBS - Premera Medicare|All Plans $511.15 ↓ -82%
BCBS - Regence Medicare|All Plans $511.15 ↓ -82%
Aetna Medicare|All Plans $511.15 ↓ -82%
Wellcare Medicare|All Plans $524.29 ↓ -82%
Humana Medicare|All Plans $531.00 ↓ -82%
Molina Medicare|All Plans $535.96 ↓ -81%
United Medicare|All Plans $535.96 ↓ -81%
Cigna Commercial|All Plans $907.09 ↓ -69%
Aetna Commercial|AWH $979.08 ↓ -66%
Sound Family Medicine Commercial|All Plans $992.52 ↓ -66%
Aetna Commercial|Sound Health $1,036.68 ↓ -64%
First Choice Commercial|All Plans $1,051.07 ↓ -64%
Molina Commercial|Marketplace Exchange $1,141.40 ↓ -60%
Aetna Commercial|WEA $1,151.86 ↓ -60%
Aetna Commercial|All Other Plans $1,151.86 ↓ -60%
Coordinated Care Commercial|Ambetter Exchange $1,161.25 ↓ -60%
United Commercial|Cascade Care $1,180.66 ↓ -59%
United Commercial|All Other Plans $1,180.66 ↓ -59%
Uniform Medical Plan Commercial|All Plans $1,224.81 ↓ -58%
Aetna Commercial|Rental $1,267.05 ↓ -56%
MultiPlan Commercial|All Plans $1,295.84 ↓ -55%
BCBS - Regence Commercial|All Plans $1,408.17 ↓ -51%
BCBS - Premera Commercial|LifeWise Primary Exchange $1,739.36 ↓ -40%
Kaiser Commercial|All Plans $1,798.53 ↓ -38%
BCBS - Premera Commercial|All Other Plans $1,922.00 ↓ -33%

Visitor-reported prices

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Dialysis one evaluation at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $1,499.40 $464.97 – $511.47
Swedish Medical Center - First Hill Campus Seattle $5,091.36 $483.19 – $1,653.41
Providence Sacred Heart Medical Center and Children's Hospital Spokane $8,857.10 $179.76 – $1,266.44
Swedish Medical Center Cherry Hill Seattle $5,091.36 $483.19 – $1,477.52
Swedish Issaquah Issaquah $5,091.36 $368.85 – $1,653.41
Providence St Mary Medical Center Walla Walla $1,814.40 $247.72 – $860.20
Kadlec Regional Medical Center Richland $1,281.70 $144.00 – $1,375.50
Providence Holy Family Hospital Spokane $3,792.60 $156.74 – $1,220.56

All Washington hospitals for this procedure →