Tenotomy open tndn flxr toe sgl tndn spx 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

$1,602.15

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.

$3,630.12

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 ↑ +16%
CHPW Medicare|All Plans $1,865.15 ↑ +16%
Optum Medicare|All Plans $1,883.80 ↑ +18%
Wellcare Medicare|All Plans $1,902.51 ↑ +19%
BCBS - Regence Medicare|All Plans $1,921.10 ↑ +20%
Aetna Medicare|All Plans $1,921.10 ↑ +20%
BCBS - Premera Medicare|All Plans $1,921.10 ↑ +20%
Humana Medicare|All Plans $1,995.71 ↑ +25%
United Medicare|All Plans $2,014.36 ↑ +26%
Molina Medicare|All Plans $2,014.36 ↑ +26%
Cigna Commercial|All Plans $2,286.98 ↑ +43%
Aetna Commercial|AWH $2,468.49 ↑ +54%
Aetna Commercial|Sound Health $2,613.69 ↑ +63%
First Choice Commercial|All Plans $2,649.99 ↑ +65%
Aetna Commercial|WEA $2,904.10 ↑ +81%
Aetna Commercial|All Other Plans $2,904.10 ↑ +81%
United Commercial|Cascade Care $2,976.70 ↑ +86%
United Commercial|All Other Plans $2,976.70 ↑ +86%
Aetna Commercial|Rental $3,194.51 ↑ +99%
MultiPlan Commercial|All Plans $3,267.11 ↑ +104%
Sound Family Medicine Commercial|All Plans $3,730.30 ↑ +133%
Molina Commercial|Marketplace Exchange $4,289.85 ↑ +168%
Coordinated Care Commercial|Ambetter Exchange $4,364.45 ↑ +172%
Uniform Medical Plan Commercial|All Plans $4,444.53 ↑ +177%
BCBS - Regence Commercial|All Plans $5,109.90 ↑ +219%
BCBS - Premera Commercial|LifeWise Primary Exchange $6,311.62 ↑ +294%
Kaiser Commercial|All Plans $6,760.89 ↑ +322%
BCBS - Premera Commercial|All Other Plans $6,974.40 ↑ +335%

Visitor-reported prices

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Tenotomy open tndn flxr toe sgl tndn spx at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $3,760.00 not published
St. Anne Hospital Burien $1,108.48 $1,560.96 – $3,267.11
St. Anthony Hospital Gig Harbor $1,104.10 $2,613.69 – $3,903.19
St. Joseph Medical Center Tacoma $1,202.29 $2,613.69 – $3,903.19
St. Elizabeth Hospital Enumclaw $1,282.76 $617.13 – $3,267.11
Virginia Mason Medical Center Seattle $2,768.28 $11.36 – $1,786.02
St. Francis Hospital Federal Way $1,139.22 $2,613.69 – $3,903.19
St. Clare Hospital Lakewood $1,046.35 $2,613.69 – $3,903.19

All Washington hospitals for this procedure →