Nuclear exam of tear flow 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

$936.65

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.

$2,122.23

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.

$468.30 with Kaiser vs $1,910.01 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 $468.30 ↓ -50%
CHPW Medicare|All Plans $468.30 ↓ -50%
Optum Medicare|All Plans $472.98 ↓ -50%
BCBS - Regence Medicare|All Plans $482.35 ↓ -49%
Aetna Medicare|All Plans $482.35 ↓ -49%
BCBS - Premera Medicare|All Plans $482.35 ↓ -49%
Wellcare Medicare|All Plans $488.22 ↓ -48%
Humana Medicare|All Plans $501.08 ↓ -47%
United Medicare|All Plans $505.76 ↓ -46%
Molina Medicare|All Plans $505.76 ↓ -46%
Sound Family Medicine Commercial|All Plans $936.60 ↓ -0%
Molina Commercial|Marketplace Exchange $1,077.09 ↑ +15%
Coordinated Care Commercial|Ambetter Exchange $1,095.82 ↑ +17%
Uniform Medical Plan Commercial|All Plans $1,140.56 ↑ +22%
BCBS - Regence Commercial|All Plans $1,311.30 ↑ +40%
Cigna Commercial|All Plans $1,337.01 ↑ +43%
Aetna Commercial|AWH $1,443.12 ↑ +54%
Aetna Commercial|Sound Health $1,528.01 ↑ +63%
First Choice Commercial|All Plans $1,549.23 ↑ +65%
BCBS - Premera Commercial|LifeWise Primary Exchange $1,619.71 ↑ +73%
Aetna Commercial|All Other Plans $1,697.79 ↑ +81%
Aetna Commercial|WEA $1,697.79 ↑ +81%
United Commercial|Cascade Care $1,740.23 ↑ +86%
United Commercial|All Other Plans $1,740.23 ↑ +86%
BCBS - Premera Commercial|All Other Plans $1,789.80 ↑ +91%
Kaiser Commercial|All Plans $1,831.85 ↑ +96%
Aetna Commercial|Rental $1,867.57 ↑ +99%
MultiPlan Commercial|All Plans $1,910.01 ↑ +104%

Visitor-reported prices

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Nuclear exam of tear flow at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $1,200.00 $462.93 – $1,730.21
Swedish Medical Center Cherry Hill Seattle $1,200.00 $462.93 – $1,674.99
Swedish Issaquah Issaquah $1,200.00 $458.13 – $1,730.21
Central Medical Center Seattle $1,382.40 $402.00 – $402.00
St. Anne Hospital Burien $648.04 $780.44 – $1,910.01
St. Anthony Hospital Gig Harbor $645.48 $780.44 – $1,591.68
St. Joseph Medical Center Tacoma $702.88 $780.44 – $1,591.68
St. Elizabeth Hospital Enumclaw $749.93 $360.78 – $1,910.01

All Washington hospitals for this procedure →