Aco cont gluc mnt phys/qhp eqp 95250aco at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$304.74
Cash price 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.
$690.46
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$112.30 with Cigna vs $573.65 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $112.30 | ↓ -63% |
| Aetna | Commercial|AWH | $121.21 | ↓ -60% |
| Aetna | Commercial|Sound Health | $128.34 | ↓ -58% |
| First Choice | Commercial|All Plans | $130.13 | ↓ -57% |
| Aetna | Commercial|All Other Plans | $142.60 | ↓ -53% |
| Aetna | Commercial|WEA | $142.60 | ↓ -53% |
| United | Commercial|Cascade Care | $146.17 | ↓ -52% |
| United | Commercial|All Other Plans | $146.17 | ↓ -52% |
| Kaiser | Medicare|All Plans | $150.19 | ↓ -51% |
| CHPW | Medicare|All Plans | $150.19 | ↓ -51% |
| Optum | Medicare|All Plans | $151.69 | ↓ -50% |
| Aetna | Medicare|All Plans | $154.70 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $154.70 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $154.70 | ↓ -49% |
| Wellcare | Medicare|All Plans | $156.48 | ↓ -49% |
| Aetna | Commercial|Rental | $156.86 | ↓ -49% |
| MultiPlan | Commercial|All Plans | $160.43 | ↓ -47% |
| Humana | Medicare|All Plans | $160.70 | ↓ -47% |
| United | Medicare|All Plans | $162.21 | ↓ -47% |
| Molina | Medicare|All Plans | $162.21 | ↓ -47% |
| Sound Family Medicine | Commercial|All Plans | $300.38 | ↓ -1% |
| Molina | Commercial|Marketplace Exchange | $345.44 | ↑ +13% |
| Coordinated Care | Commercial|Ambetter Exchange | $351.44 | ↑ +15% |
| Uniform Medical Plan | Commercial|All Plans | $365.56 | ↑ +20% |
| BCBS - Regence | Commercial|All Plans | $420.28 | ↑ +38% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $519.13 | ↑ +70% |
| Kaiser | Commercial|All Plans | $569.61 | ↑ +87% |
| BCBS - Premera | Commercial|All Other Plans | $573.65 | ↑ +88% |
Visitor-reported prices
Comments
Aco cont gluc mnt phys/qhp eqp 95250aco at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $96.00 | $154.17 – $544.87 |
| Swedish Medical Center Cherry Hill | Seattle | $96.00 | $154.17 – $486.91 |
| Swedish Issaquah | Issaquah | $96.00 | $154.60 – $544.87 |
| Swedish Edmonds Hospital | Edmonds | $96.00 | $151.62 – $475.31 |
| Providence St Mary Medical Center | Walla Walla | $809.90 | $117.13 – $274.47 |
| Kadlec Regional Medical Center | Richland | $554.40 | $148.36 – $453.29 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $104.00 | $151.62 – $486.91 |
| MultiCare Yakima Memorial Hospital | Yakima | $173.60 | $158.83 – $411.43 |