Ortho ewhf rigd without jnt cstm w 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

$664.01

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.

$1,504.50

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.

$947.84 with Cigna vs $6,156.07 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 $947.84 ↑ +43%
Aetna Commercial|AWH $1,023.06 ↑ +54%
Aetna Commercial|Sound Health $1,083.24 ↑ +63%
First Choice Commercial|All Plans $1,098.29 ↑ +65%
Aetna Commercial|WEA $1,203.60 ↑ +81%
Aetna Commercial|All Other Plans $1,203.60 ↑ +81%
United Commercial|All Other Plans $1,233.69 ↑ +86%
United Commercial|Cascade Care $1,233.69 ↑ +86%
Aetna Commercial|Rental $1,323.96 ↑ +99%
Uniform Medical Plan Commercial|All Plans $1,340.15 ↑ +102%
BCBS - Regence Commercial|All Plans $1,340.15 ↑ +102%
MultiPlan Commercial|All Plans $1,354.05 ↑ +104%
BCBS - Premera Commercial|All Other Plans $1,504.50 ↑ +127%
BCBS - Premera Commercial|LifeWise Primary Exchange $1,504.50 ↑ +127%
Kaiser Commercial|All Plans $6,156.07 ↑ +827%

Visitor-reported prices

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Ortho ewhf rigd without jnt cstm w at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $759.50 $1,399.76 – $3,562.39
Providence Holy Family Hospital Spokane $774.90 not published
MultiCare Valley Hospital Spokane Valley $713.60 $1,340.15 – $5,812.55
St. Anne Hospital Burien $459.41 $646.94 – $4,378.25
St. Anthony Hospital Gig Harbor $457.60 $752.25 – $4,525.95
MultiCare Auburn Medical Center Auburn $713.60 $1,172.63 – $6,047.66
MultiCare Good Samaritan Hospital Puyallup $713.60 $1,172.63 – $6,047.66
St. Joseph Medical Center Tacoma $498.29 $752.25 – $4,525.95

All Washington hospitals for this procedure →