Inj epidural sgl lumb-sacral without img 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

$1,296.08

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.

$2,936.62

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.

$1,037.56 with CHPW vs $4,016.32 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 $1,037.56 ↓ -20%
Kaiser Medicare|All Plans $1,037.56 ↓ -20%
Optum Medicare|All Plans $1,047.94 ↓ -19%
BCBS - Premera Medicare|All Plans $1,068.69 ↓ -18%
Aetna Medicare|All Plans $1,068.69 ↓ -18%
BCBS - Regence Medicare|All Plans $1,068.69 ↓ -18%
Wellcare Medicare|All Plans $1,078.95 ↓ -17%
Humana Medicare|All Plans $1,110.19 ↓ -14%
United Medicare|All Plans $1,120.56 ↓ -14%
Molina Medicare|All Plans $1,120.56 ↓ -14%
Cigna Commercial|All Plans $1,850.08 ↑ +43%
Aetna Commercial|AWH $1,996.91 ↑ +54%
Sound Family Medicine Commercial|All Plans $2,075.12 ↑ +60%
Aetna Commercial|Sound Health $2,114.37 ↑ +63%
First Choice Commercial|All Plans $2,143.74 ↑ +65%
Aetna Commercial|WEA $2,349.30 ↑ +81%
Aetna Commercial|All Other Plans $2,349.30 ↑ +81%
Molina Commercial|Marketplace Exchange $2,386.39 ↑ +84%
United Commercial|Cascade Care $2,408.03 ↑ +86%
United Commercial|All Other Plans $2,408.03 ↑ +86%
Coordinated Care Commercial|Ambetter Exchange $2,427.89 ↑ +87%
Uniform Medical Plan Commercial|All Plans $2,520.59 ↑ +94%
Aetna Commercial|Rental $2,584.23 ↑ +99%
MultiPlan Commercial|All Plans $2,642.96 ↑ +104%
BCBS - Regence Commercial|All Plans $2,897.93 ↑ +124%
BCBS - Premera Commercial|LifeWise Primary Exchange $3,579.45 ↑ +176%
BCBS - Premera Commercial|All Other Plans $3,955.32 ↑ +205%
Kaiser Commercial|All Plans $4,016.32 ↑ +210%

Visitor-reported prices

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Inj epidural sgl lumb-sacral without img at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $1,275.40 not published
Swedish Medical Center - First Hill Campus Seattle $2,092.80 $1,024.21 – $3,111.55
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,607.90 $985.61 – $2,508.37
Swedish Medical Center Cherry Hill Seattle $2,092.80 $1,024.21 – $2,843.98
Swedish Issaquah Issaquah $2,092.80 $1,027.08 – $2,937.74
Providence Centralia Hospital Centralia $1,968.72 $1,024.21 – $3,656.54
Providence Mount Carmel Hospital Colville $1,491.00 not published
Providence St Mary Medical Center Walla Walla $2,071.30 $807.66 – $2,837.73

All Washington hospitals for this procedure →