Remove brain canal fluid 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

$404.17

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.

$915.75

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.

$344.02 with CHPW vs $1,285.28 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
CHPW Medicare|All Plans $344.02 ↓ -15%
Kaiser Medicare|All Plans $344.02 ↓ -15%
Optum Medicare|All Plans $347.46 ↓ -14%
Wellcare Medicare|All Plans $350.60 ↓ -13%
BCBS - Premera Medicare|All Plans $354.34 ↓ -12%
Aetna Medicare|All Plans $354.34 ↓ -12%
BCBS - Regence Medicare|All Plans $354.34 ↓ -12%
Humana Medicare|All Plans $368.10 ↓ -9%
United Medicare|All Plans $371.54 ↓ -8%
Molina Medicare|All Plans $371.54 ↓ -8%
Cigna Commercial|All Plans $576.93 ↑ +43%
Aetna Commercial|AWH $622.71 ↑ +54%
Aetna Commercial|Sound Health $659.34 ↑ +63%
First Choice Commercial|All Plans $668.50 ↑ +65%
Sound Family Medicine Commercial|All Plans $688.04 ↑ +70%
Aetna Commercial|WEA $732.60 ↑ +81%
Aetna Commercial|All Other Plans $732.60 ↑ +81%
United Commercial|Cascade Care $750.92 ↑ +86%
United Commercial|All Other Plans $750.92 ↑ +86%
Molina Commercial|Marketplace Exchange $791.25 ↑ +96%
Coordinated Care Commercial|Ambetter Exchange $805.01 ↑ +99%
Aetna Commercial|Rental $805.86 ↑ +99%
Uniform Medical Plan Commercial|All Plans $819.06 ↑ +103%
MultiPlan Commercial|All Plans $824.18 ↑ +104%
BCBS - Regence Commercial|All Plans $941.67 ↑ +133%
BCBS - Premera Commercial|LifeWise Primary Exchange $1,163.14 ↑ +188%
Kaiser Commercial|All Plans $1,281.42 ↑ +217%
BCBS - Premera Commercial|All Other Plans $1,285.28 ↑ +218%

Visitor-reported prices

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Remove brain canal fluid at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $825.60 $355.45 – $1,230.32
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,900.50 $342.05 – $870.52
Swedish Medical Center Cherry Hill Seattle $825.60 $355.45 – $1,191.05
Swedish Issaquah Issaquah $825.60 $356.44 – $1,230.32
St. Anne Hospital Burien $279.63 $393.78 – $824.18
St. Anthony Hospital Gig Harbor $278.53 $659.34 – $739.79
MultiCare Auburn Medical Center Auburn $1,791.60 $302.04 – $1,473.43
MultiCare Good Samaritan Hospital Puyallup $1,791.60 $309.03 – $1,473.43

All Washington hospitals for this procedure →