X-ray knee ap standing bilateral 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

$280.90

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.

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What you pay up front if you don't use insurance.

$636.45

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.

$102.62 with Kaiser vs $572.81 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
Kaiser Medicare|All Plans $102.62 ↓ -63%
CHPW Medicare|All Plans $102.62 ↓ -63%
Optum Medicare|All Plans $103.65 ↓ -63%
BCBS - Regence Medicare|All Plans $105.70 ↓ -62%
Aetna Medicare|All Plans $105.70 ↓ -62%
BCBS - Premera Medicare|All Plans $105.70 ↓ -62%
Wellcare Medicare|All Plans $107.57 ↓ -62%
Humana Medicare|All Plans $109.80 ↓ -61%
United Medicare|All Plans $110.83 ↓ -61%
Molina Medicare|All Plans $110.83 ↓ -61%
Sound Family Medicine Commercial|All Plans $205.24 ↓ -27%
Molina Commercial|Marketplace Exchange $236.03 ↓ -16%
Coordinated Care Commercial|Ambetter Exchange $240.13 ↓ -15%
Uniform Medical Plan Commercial|All Plans $251.29 ↓ -11%
Cigna Commercial|All Plans $270.71 ↓ -4%
BCBS - Regence Commercial|All Plans $288.91 ↑ +3%
BCBS - Premera Commercial|LifeWise Primary Exchange $356.85 ↑ +27%
BCBS - Premera Commercial|All Other Plans $394.32 ↑ +40%
Kaiser Commercial|All Plans $409.47 ↑ +46%
Aetna Commercial|AWH $432.79 ↑ +54%
Aetna Commercial|Sound Health $458.25 ↑ +63%
First Choice Commercial|All Plans $464.61 ↑ +65%
Aetna Commercial|WEA $509.16 ↑ +81%
Aetna Commercial|All Other Plans $509.16 ↑ +81%
United Commercial|Cascade Care $521.89 ↑ +86%
United Commercial|All Other Plans $521.89 ↑ +86%
Aetna Commercial|Rental $560.08 ↑ +99%
MultiPlan Commercial|All Plans $572.81 ↑ +104%

Visitor-reported prices

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X-ray knee ap standing bilateral at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $382.90 not published
Swedish Medical Center - First Hill Campus Seattle $264.48 $100.77 – $375.11
Providence Sacred Heart Medical Center and Children's Hospital Spokane $396.20 $96.98 – $287.32
Swedish Medical Center Cherry Hill Seattle $264.48 $100.77 – $363.14
Swedish Issaquah Issaquah $264.48 $101.06 – $375.11
Central Medical Center Seattle $304.00 $89.00 – $89.00
Providence Centralia Hospital Centralia $184.60 $100.77 – $497.22
Providence Mount Carmel Hospital Colville $462.70 not published

All Washington hospitals for this procedure →