Splint extn xsm w sof-stretch rolyan 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

$78.17

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.

$177.11

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.

$40.21 with Cigna vs $306.91 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 $40.21 ↓ -49%
Aetna Commercial|AWH $43.40 ↓ -44%
Aetna Commercial|Sound Health $45.96 ↓ -41%
First Choice Commercial|All Plans $46.59 ↓ -40%
Aetna Commercial|WEA $51.06 ↓ -35%
Aetna Commercial|All Other Plans $51.06 ↓ -35%
United Commercial|All Other Plans $52.34 ↓ -33%
United Commercial|Cascade Care $52.34 ↓ -33%
Aetna Commercial|Rental $56.17 ↓ -28%
MultiPlan Commercial|All Plans $57.44 ↓ -27%
BCBS - Premera Commercial|All Other Plans $63.82 ↓ -18%
BCBS - Premera Commercial|LifeWise Primary Exchange $63.82 ↓ -18%
BCBS - Regence Commercial|All Plans $66.81 ↓ -15%
Uniform Medical Plan Commercial|All Plans $66.81 ↓ -15%
Kaiser Commercial|All Plans $306.91 ↑ +293%

Visitor-reported prices

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Splint extn xsm w sof-stretch rolyan at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $60.90 not published
Providence St Mary Medical Center Walla Walla $45.50 not published
MultiCare Valley Hospital Spokane Valley $549.20 $66.81 – $289.78
MultiCare Yakima Memorial Hospital Yakima $373.60 $60.13 – $116.94
St. Anne Hospital Burien $54.09 $27.45 – $218.29
St. Anthony Hospital Gig Harbor $53.87 $31.91 – $225.66
MultiCare Auburn Medical Center Auburn $549.20 $58.46 – $301.51
MultiCare Good Samaritan Hospital Puyallup $549.20 $58.46 – $301.51

All Washington hospitals for this procedure →