Ins/rplc spi npg/rcvr pocket 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

$5,484.72

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.

$12,427.19

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.

$7,829.13 with Cigna vs $138,366.52 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 $7,829.13 ↑ +43%
Aetna Commercial|AWH $8,450.49 ↑ +54%
Aetna Commercial|Sound Health $8,947.58 ↑ +63%
First Choice Commercial|All Plans $9,071.85 ↑ +65%
Aetna Commercial|WEA $9,941.76 ↑ +81%
Aetna Commercial|All Other Plans $9,941.76 ↑ +81%
United Commercial|Cascade Care $10,190.30 ↑ +86%
United Commercial|All Other Plans $10,190.30 ↑ +86%
Aetna Commercial|Rental $10,935.93 ↑ +99%
MultiPlan Commercial|All Plans $11,184.48 ↑ +104%
CHPW Medicare|All Plans $35,514.53 ↑ +548%
Kaiser Medicare|All Plans $35,514.53 ↑ +548%
Optum Medicare|All Plans $35,869.68 ↑ +554%
Aetna Medicare|All Plans $36,579.97 ↑ +567%
BCBS - Premera Medicare|All Plans $36,579.97 ↑ +567%
BCBS - Regence Medicare|All Plans $36,579.97 ↑ +567%
Wellcare Medicare|All Plans $36,757.67 ↑ +570%
Humana Medicare|All Plans $38,000.55 ↑ +593%
Molina Medicare|All Plans $38,355.69 ↑ +599%
United Medicare|All Plans $38,355.69 ↑ +599%
Sound Family Medicine Commercial|All Plans $71,029.06 ↑ +1195%
Molina Commercial|Marketplace Exchange $81,683.42 ↑ +1389%
Coordinated Care Commercial|Ambetter Exchange $83,104.00 ↑ +1415%
Uniform Medical Plan Commercial|All Plans $85,871.25 ↑ +1466%
BCBS - Regence Commercial|All Plans $98,726.49 ↑ +1700%
BCBS - Premera Commercial|LifeWise Primary Exchange $121,944.99 ↑ +2123%
BCBS - Premera Commercial|All Other Plans $134,750.30 ↑ +2357%
Kaiser Commercial|All Plans $138,366.52 ↑ +2423%

Visitor-reported prices

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Ins/rplc spi npg/rcvr pocket at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $16,624.80 $7,277.00 – $141,808.26
Swedish Medical Center Cherry Hill Seattle $16,624.80 $7,277.00 – $136,566.89
Swedish Issaquah Issaquah $16,624.80 $7,277.00 – $141,808.26
Kadlec Regional Medical Center Richland $7,262.50 $614.44 – $108,030.53
Providence Regional Medical Center Everett - Colby Campus Everett $57,637.32 $6,914.00 – $110,360.02
MultiCare Yakima Memorial Hospital Yakima $6,917.60 $36,812.79 – $96,645.87
St. Anne Hospital Burien $3,794.72 $5,343.70 – $83,397.93
St. Anthony Hospital Gig Harbor $3,779.72 $8,947.58 – $79,881.49

All Washington hospitals for this procedure →