Therapy nutrition individual initial f2f w/patient each 15 minutes 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

$82.83

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.

$187.67

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.

$21.26 with CHPW vs $168.91 with MultiPlan — 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 Medicaid|All Plans $21.26 ↓ -74%
United Medicaid|All Plans $22.54 ↓ -73%
Molina Medicaid|All Plans $22.64 ↓ -73%
Coordinated Care Medicaid|All Plans $24.45 ↓ -70%
WellPoint Medicaid|All Plans $24.89 ↓ -70%
Kaiser Medicare|All Plans $36.36 ↓ -56%
CHPW Medicare|All Plans $36.36 ↓ -56%
Optum Medicare|All Plans $36.72 ↓ -56%
BCBS - Regence Medicare|All Plans $37.45 ↓ -55%
Aetna Medicare|All Plans $37.45 ↓ -55%
BCBS - Premera Medicare|All Plans $37.45 ↓ -55%
Humana Medicare|All Plans $38.91 ↓ -53%
United Medicare|All Plans $39.27 ↓ -53%
Molina Medicare|All Plans $39.27 ↓ -53%
Wellcare Medicare|All Plans $40.04 ↓ -52%
BCBS - Regence Commercial|All Plans $45.35 ↓ -45%
Uniform Medical Plan Commercial|All Plans $54.42 ↓ -34%
BCBS - Premera Commercial|All Other Plans $55.48 ↓ -33%
Sound Family Medicine Commercial|All Plans $72.72 ↓ -12%
BCBS - Premera Commercial|LifeWise Primary Exchange $80.52 ↓ -3%
Molina Commercial|Marketplace Exchange $83.63 ↑ +1%
Coordinated Care Commercial|Ambetter Exchange $85.08 ↑ +3%
Cigna Commercial|All Plans $118.24 ↑ +43%
Aetna Commercial|AWH $127.62 ↑ +54%
Aetna Commercial|Sound Health $135.13 ↑ +63%
First Choice Commercial|All Plans $137.00 ↑ +65%
Aetna Commercial|All Other Plans $150.14 ↑ +81%
Aetna Commercial|WEA $150.14 ↑ +81%
Kaiser Commercial|All Plans $153.31 ↑ +85%
United Commercial|Cascade Care $153.89 ↑ +86%
United Commercial|All Other Plans $153.89 ↑ +86%
Aetna Commercial|Rental $165.15 ↑ +99%
MultiPlan Commercial|All Plans $168.91 ↑ +104%

Visitor-reported prices

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Therapy nutrition individual initial f2f w/patient each 15 minutes at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $30.10 not published
Swedish Medical Center - First Hill Campus Seattle $114.24 $23.29 – $88.44
Providence Sacred Heart Medical Center and Children's Hospital Spokane $110.60 $29.11 – $74.08
Swedish Medical Center Cherry Hill Seattle $114.24 $23.29 – $103.94
Swedish Issaquah Issaquah $114.24 $23.29 – $65.83
Providence Mount Carmel Hospital Colville $37.10 not published
Providence St Mary Medical Center Walla Walla $154.00 $29.11 – $53.85
Kadlec Regional Medical Center Richland $80.50 $29.11 – $64.10

All Washington hospitals for this procedure →