Echo exam of fetal heart 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

$825.64

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.

$1,870.72

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.

$639.00 with CHPW vs $2,393.97 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 $639.00 ↓ -23%
Kaiser Medicare|All Plans $639.00 ↓ -23%
Optum Medicare|All Plans $645.39 ↓ -22%
Wellcare Medicare|All Plans $653.03 ↓ -21%
BCBS - Premera Medicare|All Plans $658.17 ↓ -20%
Aetna Medicare|All Plans $658.17 ↓ -20%
BCBS - Regence Medicare|All Plans $658.17 ↓ -20%
Humana Medicare|All Plans $683.73 ↓ -17%
United Medicare|All Plans $690.12 ↓ -16%
Molina Medicare|All Plans $690.12 ↓ -16%
Cigna Commercial|All Plans $1,178.56 ↑ +43%
Aetna Commercial|AWH $1,272.09 ↑ +54%
Sound Family Medicine Commercial|All Plans $1,278.00 ↑ +55%
Aetna Commercial|Sound Health $1,346.92 ↑ +63%
First Choice Commercial|All Plans $1,365.63 ↑ +65%
Molina Commercial|Marketplace Exchange $1,469.70 ↑ +78%
Coordinated Care Commercial|Ambetter Exchange $1,495.26 ↑ +81%
Aetna Commercial|WEA $1,496.58 ↑ +81%
Aetna Commercial|All Other Plans $1,496.58 ↑ +81%
Uniform Medical Plan Commercial|All Plans $1,525.59 ↑ +85%
United Commercial|Cascade Care $1,534.00 ↑ +86%
United Commercial|All Other Plans $1,534.00 ↑ +86%
Aetna Commercial|Rental $1,646.24 ↑ +99%
MultiPlan Commercial|All Plans $1,683.65 ↑ +104%
BCBS - Regence Commercial|All Plans $1,753.97 ↑ +112%
BCBS - Premera Commercial|LifeWise Primary Exchange $2,166.47 ↑ +162%
Kaiser Commercial|All Plans $2,371.25 ↑ +187%
BCBS - Premera Commercial|All Other Plans $2,393.97 ↑ +190%

Visitor-reported prices

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Echo exam of fetal heart at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $2,312.16 $632.74 – $2,263.43
Providence Sacred Heart Medical Center and Children's Hospital Spokane $2,178.40 $608.89 – $1,733.69
Swedish Medical Center Cherry Hill Seattle $2,312.16 $632.74 – $2,191.19
Swedish Issaquah Issaquah $2,312.16 $634.52 – $2,263.43
Central Medical Center Seattle $1,881.60 $549.00 – $549.00
Providence St Mary Medical Center Walla Walla $3,188.50 $488.84 – $1,126.45
Kadlec Regional Medical Center Richland $1,467.90 $454.37 – $1,882.98
Providence Regional Medical Center Everett - Colby Campus Everett $1,483.04 $622.26 – $2,022.64

All Washington hospitals for this procedure →