Middle cerebral artery echo 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

$378.03

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.

$856.53

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.

$123.93 with Kaiser vs $770.88 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 $123.93 ↓ -67%
CHPW Medicare|All Plans $123.93 ↓ -67%
Optum Medicare|All Plans $125.17 ↓ -67%
BCBS - Regence Medicare|All Plans $127.65 ↓ -66%
Aetna Medicare|All Plans $127.65 ↓ -66%
BCBS - Premera Medicare|All Plans $127.65 ↓ -66%
Wellcare Medicare|All Plans $130.14 ↓ -66%
Humana Medicare|All Plans $132.61 ↓ -65%
United Medicare|All Plans $133.84 ↓ -65%
Molina Medicare|All Plans $133.84 ↓ -65%
Sound Family Medicine Commercial|All Plans $247.86 ↓ -34%
Molina Commercial|Marketplace Exchange $285.04 ↓ -25%
Coordinated Care Commercial|Ambetter Exchange $290.00 ↓ -23%
Uniform Medical Plan Commercial|All Plans $304.03 ↓ -20%
BCBS - Regence Commercial|All Plans $349.54 ↓ -8%
BCBS - Premera Commercial|LifeWise Primary Exchange $431.76 ↑ +14%
BCBS - Premera Commercial|All Other Plans $477.10 ↑ +26%
Cigna Commercial|All Plans $498.80 ↑ +32%
Kaiser Commercial|All Plans $503.73 ↑ +33%
Aetna Commercial|AWH $582.45 ↑ +54%
Aetna Commercial|Sound Health $616.71 ↑ +63%
First Choice Commercial|All Plans $625.27 ↑ +65%
Aetna Commercial|WEA $685.23 ↑ +81%
Aetna Commercial|All Other Plans $685.23 ↑ +81%
United Commercial|Cascade Care $702.36 ↑ +86%
United Commercial|All Other Plans $702.36 ↑ +86%
Aetna Commercial|Rental $753.75 ↑ +99%
MultiPlan Commercial|All Plans $770.88 ↑ +104%

Visitor-reported prices

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Middle cerebral artery echo at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $214.08 $121.06 – $526.78
Providence Sacred Heart Medical Center and Children's Hospital Spokane $243.60 $116.50 – $403.49
Swedish Medical Center Cherry Hill Seattle $214.08 $121.06 – $509.96
Swedish Issaquah Issaquah $214.08 $121.40 – $526.78
Central Medical Center Seattle $364.80 $107.00 – $107.00
Kadlec Regional Medical Center Richland $585.20 $116.50 – $438.23
Providence Regional Medical Center Everett - Colby Campus Everett $162.76 $119.06 – $470.74
Providence St Peter Hospital Olympia $221.00 $102.20 – $627.65

All Washington hospitals for this procedure →