Punc of shunt for asp or inj 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

$401.17

Cash price

?

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.

$908.95

Gross charge

?

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.

$572.64 with Cigna vs $3,036.77 with Kaiser — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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 $572.64 ↑ +43%
Aetna Commercial|AWH $618.09 ↑ +54%
Aetna Commercial|Sound Health $654.45 ↑ +63%
First Choice Commercial|All Plans $663.54 ↑ +65%
Aetna Commercial|WEA $727.16 ↑ +81%
Aetna Commercial|All Other Plans $727.16 ↑ +81%
United Commercial|All Other Plans $745.34 ↑ +86%
United Commercial|Cascade Care $745.34 ↑ +86%
Aetna Commercial|Rental $799.88 ↑ +99%
Kaiser Medicare|All Plans $807.08 ↑ +101%
CHPW Medicare|All Plans $807.08 ↑ +101%
Optum Medicare|All Plans $815.15 ↑ +103%
MultiPlan Commercial|All Plans $818.06 ↑ +104%
Wellcare Medicare|All Plans $818.61 ↑ +104%
BCBS - Premera Medicare|All Plans $831.29 ↑ +107%
Aetna Medicare|All Plans $831.29 ↑ +107%
BCBS - Regence Medicare|All Plans $831.29 ↑ +107%
Humana Medicare|All Plans $863.58 ↑ +115%
United Medicare|All Plans $871.65 ↑ +117%
Molina Medicare|All Plans $871.65 ↑ +117%
Sound Family Medicine Commercial|All Plans $1,614.16 ↑ +302%
Molina Commercial|Marketplace Exchange $1,856.28 ↑ +363%
Coordinated Care Commercial|Ambetter Exchange $1,888.57 ↑ +371%
Uniform Medical Plan Commercial|All Plans $1,912.39 ↑ +377%
BCBS - Regence Commercial|All Plans $2,198.68 ↑ +448%
BCBS - Premera Commercial|LifeWise Primary Exchange $2,715.75 ↑ +577%
BCBS - Premera Commercial|All Other Plans $3,000.93 ↑ +648%
Kaiser Commercial|All Plans $3,036.77 ↑ +657%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Punc of shunt for asp or inj at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $554.40 not published
Swedish Medical Center - First Hill Campus Seattle $2,403.36 $817.40 – $2,937.74
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,559.60 $786.59 – $2,001.88
Swedish Medical Center Cherry Hill Seattle $2,403.36 $817.40 – $2,843.98
Swedish Issaquah Issaquah $2,403.36 $819.70 – $2,937.74
Providence Centralia Hospital Centralia $1,662.44 $817.40 – $3,656.54
Providence Mount Carmel Hospital Colville $664.30 not published
Providence St Mary Medical Center Walla Walla $1,164.80 $612.78 – $2,837.73

All Washington hospitals for this procedure →