Tte w or without contr, cont ecg 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

$1,114.06

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.

$2,524.20

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.

$920.75 with CHPW vs $3,491.15 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
CHPW Medicare|All Plans $920.75 ↓ -17%
Kaiser Medicare|All Plans $920.75 ↓ -17%
Optum Medicare|All Plans $929.96 ↓ -17%
Wellcare Medicare|All Plans $947.80 ↓ -15%
BCBS - Premera Medicare|All Plans $948.37 ↓ -15%
Aetna Medicare|All Plans $948.37 ↓ -15%
BCBS - Regence Medicare|All Plans $948.37 ↓ -15%
Humana Medicare|All Plans $985.20 ↓ -12%
United Medicare|All Plans $994.41 ↓ -11%
Molina Medicare|All Plans $994.41 ↓ -11%
Cigna Commercial|All Plans $1,590.25 ↑ +43%
Aetna Commercial|AWH $1,716.46 ↑ +54%
Aetna Commercial|Sound Health $1,817.43 ↑ +63%
Sound Family Medicine Commercial|All Plans $1,841.50 ↑ +65%
First Choice Commercial|All Plans $1,842.67 ↑ +65%
Aetna Commercial|WEA $2,019.36 ↑ +81%
Aetna Commercial|All Other Plans $2,019.36 ↑ +81%
United Commercial|Cascade Care $2,069.85 ↑ +86%
United Commercial|All Other Plans $2,069.85 ↑ +86%
Molina Commercial|Marketplace Exchange $2,117.72 ↑ +90%
Coordinated Care Commercial|Ambetter Exchange $2,154.55 ↑ +93%
Uniform Medical Plan Commercial|All Plans $2,214.18 ↑ +99%
Aetna Commercial|Rental $2,221.30 ↑ +99%
MultiPlan Commercial|All Plans $2,271.78 ↑ +104%
BCBS - Regence Commercial|All Plans $2,545.65 ↑ +129%
BCBS - Premera Commercial|LifeWise Primary Exchange $3,144.34 ↑ +182%
BCBS - Premera Commercial|All Other Plans $3,474.52 ↑ +212%
Kaiser Commercial|All Plans $3,491.15 ↑ +213%

Visitor-reported prices

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Tte w or without contr, cont ecg at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,885.80 $873.56 – $2,450.95
Kadlec Regional Medical Center Richland $1,376.20 $873.56 – $2,662.01
Providence Holy Family Hospital Spokane $1,624.70 $873.56 – $2,293.09
Providence Regional Medical Center Everett - Colby Campus Everett $1,536.08 $892.73 – $2,859.44
St. Anne Hospital Burien $770.78 $1,085.41 – $3,061.80
St. Anthony Hospital Gig Harbor $767.74 $1,817.43 – $2,883.66
St. Joseph Medical Center Tacoma $836.01 $1,817.43 – $2,883.66
St. Elizabeth Hospital Enumclaw $891.97 $429.12 – $2,271.78

All Washington hospitals for this procedure →