Excise mandible lesion 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

$3,533.00

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.

$8,005.00

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.

$3,779.54 with Kaiser vs $13,971.45 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 $3,779.54 ↑ +7%
CHPW Medicare|All Plans $3,779.54 ↑ +7%
Wellcare Medicare|All Plans $3,811.18 ↑ +8%
Optum Medicare|All Plans $3,817.34 ↑ +8%
BCBS - Regence Medicare|All Plans $3,892.93 ↑ +10%
Aetna Medicare|All Plans $3,892.93 ↑ +10%
BCBS - Premera Medicare|All Plans $3,892.93 ↑ +10%
Humana Medicare|All Plans $4,044.11 ↑ +14%
United Medicare|All Plans $4,081.90 ↑ +16%
Molina Medicare|All Plans $4,081.90 ↑ +16%
Cigna Commercial|All Plans $5,043.15 ↑ +43%
Aetna Commercial|AWH $5,443.40 ↑ +54%
Aetna Commercial|Sound Health $5,763.60 ↑ +63%
First Choice Commercial|All Plans $5,843.65 ↑ +65%
Aetna Commercial|WEA $6,404.00 ↑ +81%
Aetna Commercial|All Other Plans $6,404.00 ↑ +81%
United Commercial|Cascade Care $6,564.10 ↑ +86%
United Commercial|All Other Plans $6,564.10 ↑ +86%
Aetna Commercial|Rental $7,044.40 ↑ +99%
MultiPlan Commercial|All Plans $7,204.50 ↑ +104%
Sound Family Medicine Commercial|All Plans $7,559.08 ↑ +114%
Molina Commercial|Marketplace Exchange $8,692.94 ↑ +146%
Coordinated Care Commercial|Ambetter Exchange $8,844.12 ↑ +150%
Uniform Medical Plan Commercial|All Plans $8,903.46 ↑ +152%
BCBS - Regence Commercial|All Plans $10,236.34 ↑ +190%
BCBS - Premera Commercial|LifeWise Primary Exchange $12,643.74 ↑ +258%
Kaiser Commercial|All Plans $13,408.63 ↑ +280%
BCBS - Premera Commercial|All Other Plans $13,971.45 ↑ +295%

Visitor-reported prices

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Excise mandible lesion at other Washington hospitals

Hospital City Cash price Negotiated range
St. Anne Hospital Burien $2,444.38 $3,442.15 – $7,204.50
St. Anthony Hospital Gig Harbor $2,434.72 $5,763.60 – $7,741.04
St. Joseph Medical Center Tacoma $2,651.24 $5,763.60 – $7,741.04
St. Elizabeth Hospital Enumclaw $2,828.69 $1,360.85 – $7,204.50
St. Francis Hospital Federal Way $2,512.16 $5,763.60 – $7,741.04
St. Clare Hospital Lakewood $2,307.37 $5,763.60 – $7,741.04
Providence St Luke's Rehabilitation Medical Center Spokane not published $3,694.56 – $4,064.02
Swedish Medical Center - First Hill Campus Seattle not published $3,839.27 – $12,755.94

All Washington hospitals for this procedure →