Ghs insertion of needle - bone 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

$293.60

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.

$665.23

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.

$419.10 with Cigna vs $1,779.49 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 $419.10 ↑ +43%
Aetna Commercial|AWH $452.36 ↑ +54%
CHPW Medicare|All Plans $465.05 ↑ +58%
Kaiser Medicare|All Plans $465.05 ↑ +58%
Optum Medicare|All Plans $469.70 ↑ +60%
Wellcare Medicare|All Plans $471.65 ↑ +61%
Aetna Commercial|Sound Health $478.97 ↑ +63%
Aetna Medicare|All Plans $479.00 ↑ +63%
BCBS - Premera Medicare|All Plans $479.00 ↑ +63%
BCBS - Regence Medicare|All Plans $479.00 ↑ +63%
First Choice Commercial|All Plans $485.62 ↑ +65%
Humana Medicare|All Plans $497.60 ↑ +69%
Molina Medicare|All Plans $502.25 ↑ +71%
United Medicare|All Plans $502.25 ↑ +71%
Aetna Commercial|WEA $532.19 ↑ +81%
Aetna Commercial|All Other Plans $532.19 ↑ +81%
United Commercial|Cascade Care $545.49 ↑ +86%
United Commercial|All Other Plans $545.49 ↑ +86%
Aetna Commercial|Rental $585.41 ↑ +99%
MultiPlan Commercial|All Plans $598.71 ↑ +104%
Sound Family Medicine Commercial|All Plans $930.10 ↑ +217%
Molina Commercial|Marketplace Exchange $1,069.62 ↑ +264%
Coordinated Care Commercial|Ambetter Exchange $1,088.22 ↑ +271%
Uniform Medical Plan Commercial|All Plans $1,101.84 ↑ +275%
BCBS - Regence Commercial|All Plans $1,266.79 ↑ +331%
BCBS - Premera Commercial|LifeWise Primary Exchange $1,564.72 ↑ +433%
BCBS - Premera Commercial|All Other Plans $1,729.02 ↑ +489%
Kaiser Commercial|All Plans $1,779.49 ↑ +506%

Visitor-reported prices

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Ghs insertion of needle - bone at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $144.20 not published
Swedish Medical Center - First Hill Campus Seattle $949.92 $517.30 – $1,708.87
Providence Sacred Heart Medical Center and Children's Hospital Spokane $342.30 $497.80 – $1,308.92
Swedish Medical Center Cherry Hill Seattle $949.92 $517.30 – $1,654.33
Swedish Issaquah Issaquah $949.92 $518.75 – $1,708.87
Providence Centralia Hospital Centralia $1,514.24 $517.30 – $2,265.17
Providence Mount Carmel Hospital Colville $172.20 not published
Providence St Mary Medical Center Walla Walla $583.10 $353.06 – $920.94

All Washington hospitals for this procedure →