Mayo nickel 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

$122.55

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.

$277.66

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.

$24.51 with Kaiser vs $249.90 with MultiPlan — 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 $24.51 ↓ -80%
CHPW Medicare|All Plans $24.51 ↓ -80%
BCBS - Regence Medicare|All Plans $24.51 ↓ -80%
Optum Medicare|All Plans $24.76 ↓ -80%
BCBS - Premera Medicare|All Plans $25.25 ↓ -79%
Aetna Medicare|All Plans $25.25 ↓ -79%
BCBS - Regence Commercial|All Plans $25.74 ↓ -79%
Humana Medicare|All Plans $26.23 ↓ -79%
Wellcare Medicare|All Plans $26.47 ↓ -78%
Molina Medicare|All Plans $26.47 ↓ -78%
United Medicare|All Plans $26.47 ↓ -78%
Uniform Medical Plan Commercial|All Plans $36.77 ↓ -70%
BCBS - Premera Commercial|All Other Plans $42.89 ↓ -65%
Sound Family Medicine Commercial|All Plans $49.02 ↓ -60%
Molina Commercial|Marketplace Exchange $56.37 ↓ -54%
Coordinated Care Commercial|Ambetter Exchange $57.35 ↓ -53%
BCBS - Premera Commercial|LifeWise Primary Exchange $62.26 ↓ -49%
Cigna Commercial|All Plans $78.68 ↓ -36%
Aetna Commercial|AWH $188.81 ↑ +54%
Aetna Commercial|Sound Health $199.92 ↑ +63%
First Choice Commercial|All Plans $202.70 ↑ +65%
Aetna Commercial|All Other Plans $222.13 ↑ +81%
Aetna Commercial|WEA $222.13 ↑ +81%
United Commercial|Cascade Care $227.69 ↑ +86%
United Commercial|All Other Plans $227.69 ↑ +86%
Aetna Commercial|Rental $244.35 ↑ +99%
MultiPlan Commercial|All Plans $249.90 ↑ +104%

Visitor-reported prices

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Mayo nickel at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $110.40 $18.00 – $18.00
Providence St Mary Medical Center Walla Walla $33.60 $24.51 – $45.34
Kadlec Regional Medical Center Richland $123.90 $24.51 – $95.83
St. Anne Hospital Burien $84.79 $24.51 – $249.90
St. Anthony Hospital Gig Harbor $84.45 $24.51 – $208.25
MultiCare Auburn Medical Center Auburn $62.00 $7.61 – $48.04
MultiCare Good Samaritan Hospital Puyallup $62.00 $7.79 – $48.04
St. Joseph Medical Center Tacoma $91.97 $24.51 – $208.25

All Washington hospitals for this procedure →