Unsched dialysis esrd pt hos 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

$1,406.87

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.

$3,187.65

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.

$815.47 with Kaiser vs $3,032.41 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 $815.47 ↓ -42%
CHPW Medicare|All Plans $815.47 ↓ -42%
Optum Medicare|All Plans $823.62 ↓ -41%
Wellcare Medicare|All Plans $827.19 ↓ -41%
BCBS - Regence Medicare|All Plans $839.93 ↓ -40%
Aetna Medicare|All Plans $839.93 ↓ -40%
BCBS - Premera Medicare|All Plans $839.93 ↓ -40%
Humana Medicare|All Plans $872.55 ↓ -38%
Molina Medicare|All Plans $880.71 ↓ -37%
United Medicare|All Plans $880.71 ↓ -37%
Sound Family Medicine Commercial|All Plans $1,630.94 ↑ +16%
Molina Commercial|Marketplace Exchange $1,875.58 ↑ +33%
Coordinated Care Commercial|Ambetter Exchange $1,908.20 ↑ +36%
Uniform Medical Plan Commercial|All Plans $1,932.45 ↑ +37%
Cigna Commercial|All Plans $2,008.22 ↑ +43%
Aetna Commercial|AWH $2,167.61 ↑ +54%
BCBS - Regence Commercial|All Plans $2,221.74 ↑ +58%
Aetna Commercial|Sound Health $2,295.11 ↑ +63%
First Choice Commercial|All Plans $2,326.99 ↑ +65%
Aetna Commercial|All Other Plans $2,550.12 ↑ +81%
Aetna Commercial|WEA $2,550.12 ↑ +81%
United Commercial|Cascade Care $2,613.88 ↑ +86%
United Commercial|All Other Plans $2,613.88 ↑ +86%
BCBS - Premera Commercial|LifeWise Primary Exchange $2,744.24 ↑ +95%
Aetna Commercial|Rental $2,805.14 ↑ +99%
MultiPlan Commercial|All Plans $2,868.89 ↑ +104%
Kaiser Commercial|All Plans $2,971.64 ↑ +111%
BCBS - Premera Commercial|All Other Plans $3,032.41 ↑ +116%

Visitor-reported prices

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Unsched dialysis esrd pt hos at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $1,685.88 $764.79 – $841.27
Swedish Medical Center - First Hill Campus Seattle $2,000.64 $794.75 – $3,008.14
Providence Sacred Heart Medical Center and Children's Hospital Spokane $3,264.80 $764.79 – $2,304.11
Swedish Medical Center Cherry Hill Seattle $2,000.64 $794.75 – $2,912.14
Swedish Issaquah Issaquah $2,000.64 $796.98 – $3,008.14
Providence St Mary Medical Center Walla Walla $1,191.40 $619.20 – $1,414.86
Kadlec Regional Medical Center Richland $3,631.60 $764.79 – $2,502.52
Providence Holy Family Hospital Spokane $3,890.60 $764.79 – $2,007.58

All Washington hospitals for this procedure →