Dilation/female urethra/initial 53660 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

$127.11

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.

$288.00

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.

$181.44 with Cigna vs $685.41 with Kaiser — 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 $181.44 ↑ +43%
Kaiser Medicare|All Plans $182.34 ↑ +43%
CHPW Medicare|All Plans $182.34 ↑ +43%
Optum Medicare|All Plans $184.16 ↑ +45%
Wellcare Medicare|All Plans $184.91 ↑ +45%
Aetna Medicare|All Plans $187.81 ↑ +48%
BCBS - Regence Medicare|All Plans $187.81 ↑ +48%
BCBS - Premera Medicare|All Plans $187.81 ↑ +48%
Humana Medicare|All Plans $195.10 ↑ +53%
Aetna Commercial|AWH $195.84 ↑ +54%
Molina Medicare|All Plans $196.93 ↑ +55%
United Medicare|All Plans $196.93 ↑ +55%
Aetna Commercial|Sound Health $207.36 ↑ +63%
First Choice Commercial|All Plans $210.24 ↑ +65%
Aetna Commercial|WEA $230.40 ↑ +81%
Aetna Commercial|All Other Plans $230.40 ↑ +81%
United Commercial|Cascade Care $236.16 ↑ +86%
United Commercial|All Other Plans $236.16 ↑ +86%
Aetna Commercial|Rental $253.44 ↑ +99%
MultiPlan Commercial|All Plans $259.20 ↑ +104%
Sound Family Medicine Commercial|All Plans $364.68 ↑ +187%
Molina Commercial|Marketplace Exchange $419.38 ↑ +230%
Coordinated Care Commercial|Ambetter Exchange $426.68 ↑ +236%
Uniform Medical Plan Commercial|All Plans $431.96 ↑ +240%
BCBS - Regence Commercial|All Plans $496.63 ↑ +291%
BCBS - Premera Commercial|LifeWise Primary Exchange $613.42 ↑ +383%
BCBS - Premera Commercial|All Other Plans $677.84 ↑ +433%
Kaiser Commercial|All Plans $685.41 ↑ +439%

Visitor-reported prices

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Dilation/female urethra/initial 53660 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $217.70 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $344.40 $143.39 – $498.06
Providence Centralia Hospital Centralia $335.92 $149.00 – $861.92
Providence Mount Carmel Hospital Colville $254.80 not published
Providence St Mary Medical Center Walla Walla $217.70 $138.41 – $265.26
Kadlec Regional Medical Center Richland $214.20 $69.42 – $540.95
Providence Holy Family Hospital Spokane $361.20 $143.39 – $3,379.00
Providence Regional Medical Center Everett - Colby Campus Everett $396.24 $146.53 – $581.07

All Washington hospitals for this procedure →