Ghs windowing of cast 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

$238.42

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.

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What you pay up front if you don't use insurance.

$540.19

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.

$183.89 with CHPW vs $686.97 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
CHPW Medicare|All Plans $183.89 ↓ -23%
Kaiser Medicare|All Plans $183.89 ↓ -23%
Optum Medicare|All Plans $185.73 ↓ -22%
Wellcare Medicare|All Plans $186.52 ↓ -22%
BCBS - Premera Medicare|All Plans $189.41 ↓ -21%
Aetna Medicare|All Plans $189.41 ↓ -21%
BCBS - Regence Medicare|All Plans $189.41 ↓ -21%
Humana Medicare|All Plans $196.76 ↓ -17%
United Medicare|All Plans $198.60 ↓ -17%
Molina Medicare|All Plans $198.60 ↓ -17%
Cigna Commercial|All Plans $340.32 ↑ +43%
Aetna Commercial|AWH $367.33 ↑ +54%
Sound Family Medicine Commercial|All Plans $367.78 ↑ +54%
Aetna Commercial|Sound Health $388.94 ↑ +63%
First Choice Commercial|All Plans $394.34 ↑ +65%
Molina Commercial|Marketplace Exchange $422.95 ↑ +77%
Coordinated Care Commercial|Ambetter Exchange $430.30 ↑ +80%
Aetna Commercial|WEA $432.16 ↑ +81%
Aetna Commercial|All Other Plans $432.16 ↑ +81%
Uniform Medical Plan Commercial|All Plans $435.74 ↑ +83%
United Commercial|Cascade Care $442.96 ↑ +86%
United Commercial|All Other Plans $442.96 ↑ +86%
Aetna Commercial|Rental $475.37 ↑ +99%
MultiPlan Commercial|All Plans $486.18 ↑ +104%
BCBS - Regence Commercial|All Plans $500.97 ↑ +110%
BCBS - Premera Commercial|LifeWise Primary Exchange $618.79 ↑ +160%
BCBS - Premera Commercial|All Other Plans $683.77 ↑ +187%
Kaiser Commercial|All Plans $686.97 ↑ +188%

Visitor-reported prices

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Ghs windowing of cast at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $101.50 not published
Swedish Medical Center - First Hill Campus Seattle $456.00 $188.17 – $628.58
Providence Sacred Heart Medical Center and Children's Hospital Spokane $354.20 $181.08 – $460.85
Swedish Medical Center Cherry Hill Seattle $456.00 $188.17 – $608.52
Swedish Issaquah Issaquah $456.00 $188.70 – $628.58
Central Medical Center Seattle $344.00 not published
Providence Centralia Hospital Centralia $336.44 $188.17 – $782.38
Providence Mount Carmel Hospital Colville $120.40 not published

All Washington hospitals for this procedure →