Partial removal finger bone 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

$3,335.60

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.

$7,557.75

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.

$1,865.15 with Kaiser vs $6,974.40 with BCBS - Premera — 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 $1,865.15 ↓ -44%
CHPW Medicare|All Plans $1,865.15 ↓ -44%
Optum Medicare|All Plans $1,883.80 ↓ -44%
Wellcare Medicare|All Plans $1,902.51 ↓ -43%
BCBS - Regence Medicare|All Plans $1,921.10 ↓ -42%
Aetna Medicare|All Plans $1,921.10 ↓ -42%
BCBS - Premera Medicare|All Plans $1,921.10 ↓ -42%
Humana Medicare|All Plans $1,995.71 ↓ -40%
Molina Medicare|All Plans $2,014.36 ↓ -40%
United Medicare|All Plans $2,014.36 ↓ -40%
Sound Family Medicine Commercial|All Plans $3,730.30 ↑ +12%
Molina Commercial|Marketplace Exchange $4,289.85 ↑ +29%
Coordinated Care Commercial|Ambetter Exchange $4,364.45 ↑ +31%
Uniform Medical Plan Commercial|All Plans $4,444.53 ↑ +33%
Cigna Commercial|All Plans $4,761.39 ↑ +43%
BCBS - Regence Commercial|All Plans $5,109.90 ↑ +53%
Aetna Commercial|AWH $5,139.27 ↑ +54%
Aetna Commercial|Sound Health $5,441.58 ↑ +63%
First Choice Commercial|All Plans $5,517.16 ↑ +65%
Aetna Commercial|All Other Plans $6,046.20 ↑ +81%
Aetna Commercial|WEA $6,046.20 ↑ +81%
United Commercial|Cascade Care $6,197.36 ↑ +86%
United Commercial|All Other Plans $6,197.36 ↑ +86%
BCBS - Premera Commercial|LifeWise Primary Exchange $6,311.62 ↑ +89%
Aetna Commercial|Rental $6,650.82 ↑ +99%
Kaiser Commercial|All Plans $6,760.89 ↑ +103%
MultiPlan Commercial|All Plans $6,801.98 ↑ +104%
BCBS - Premera Commercial|All Other Plans $6,974.40 ↑ +109%

Visitor-reported prices

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Partial removal finger bone at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $2,146.20 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $3,395.70 $1,791.86 – $4,560.28
Providence Centralia Hospital Centralia $3,313.96 $1,862.04 – $7,929.03
Providence Mount Carmel Hospital Colville $2,510.20 not published
Providence St Mary Medical Center Walla Walla $3,227.00 $1,424.14 – $3,314.93
Kadlec Regional Medical Center Richland $3,175.20 $756.73 – $5,028.50
Providence Holy Family Hospital Spokane $3,559.50 $1,791.86 – $12,776.00
Providence Regional Medical Center Everett - Colby Campus Everett $3,559.92 $1,831.19 – $9,161.00

All Washington hospitals for this procedure →