Exc thrombosed hemorrhoid 46320 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

$1,332.51

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.

$3,019.16

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.

$1,374.12 with Kaiser vs $5,120.89 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
Kaiser Medicare|All Plans $1,374.12 ↑ +3%
CHPW Medicare|All Plans $1,374.12 ↑ +3%
Optum Medicare|All Plans $1,387.86 ↑ +4%
Wellcare Medicare|All Plans $1,396.89 ↑ +5%
BCBS - Regence Medicare|All Plans $1,415.34 ↑ +6%
Aetna Medicare|All Plans $1,415.34 ↑ +6%
BCBS - Premera Medicare|All Plans $1,415.34 ↑ +6%
Humana Medicare|All Plans $1,470.31 ↑ +10%
United Medicare|All Plans $1,484.05 ↑ +11%
Molina Medicare|All Plans $1,484.05 ↑ +11%
Cigna Commercial|All Plans $1,902.08 ↑ +43%
Aetna Commercial|AWH $2,053.03 ↑ +54%
Aetna Commercial|Sound Health $2,173.80 ↑ +63%
First Choice Commercial|All Plans $2,203.99 ↑ +65%
Aetna Commercial|WEA $2,415.33 ↑ +81%
Aetna Commercial|All Other Plans $2,415.33 ↑ +81%
United Commercial|Cascade Care $2,475.72 ↑ +86%
United Commercial|All Other Plans $2,475.72 ↑ +86%
Aetna Commercial|Rental $2,656.87 ↑ +99%
MultiPlan Commercial|All Plans $2,717.25 ↑ +104%
Sound Family Medicine Commercial|All Plans $2,748.24 ↑ +106%
Molina Commercial|Marketplace Exchange $3,160.48 ↑ +137%
Coordinated Care Commercial|Ambetter Exchange $3,215.44 ↑ +141%
Uniform Medical Plan Commercial|All Plans $3,263.34 ↑ +145%
BCBS - Regence Commercial|All Plans $3,751.88 ↑ +182%
BCBS - Premera Commercial|LifeWise Primary Exchange $4,634.25 ↑ +248%
Kaiser Commercial|All Plans $5,103.75 ↑ +283%
BCBS - Premera Commercial|All Other Plans $5,120.89 ↑ +284%

Visitor-reported prices

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Exc thrombosed hemorrhoid 46320 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $2,177.00 not published
Swedish Medical Center - First Hill Campus Seattle $3,123.84 $1,385.70 – $4,719.83
Providence Sacred Heart Medical Center and Children's Hospital Spokane $4,992.40 $1,333.47 – $3,393.68
Swedish Medical Center Cherry Hill Seattle $3,123.84 $1,385.70 – $4,569.20
Swedish Issaquah Issaquah $3,123.84 $1,389.59 – $4,719.83
Providence Centralia Hospital Centralia $2,501.72 $1,385.70 – $5,874.69
Providence Mount Carmel Hospital Colville $2,608.20 not published
Providence St Mary Medical Center Walla Walla $2,900.10 $1,045.65 – $4,559.16

All Washington hospitals for this procedure →