Adh-sendout at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$260.39
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.
$589.98
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.
$33.94 with Kaiser vs $530.99 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 →
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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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $33.94 | ↓ -87% |
| CHPW | Medicare|All Plans | $33.94 | ↓ -87% |
| BCBS - Regence | Medicare|All Plans | $33.94 | ↓ -87% |
| Optum | Medicare|All Plans | $34.28 | ↓ -87% |
| BCBS - Premera | Medicare|All Plans | $34.96 | ↓ -87% |
| Aetna | Medicare|All Plans | $34.96 | ↓ -87% |
| BCBS - Regence | Commercial|All Plans | $35.64 | ↓ -86% |
| Humana | Medicare|All Plans | $36.32 | ↓ -86% |
| Wellcare | Medicare|All Plans | $36.66 | ↓ -86% |
| Molina | Medicare|All Plans | $36.66 | ↓ -86% |
| United | Medicare|All Plans | $36.66 | ↓ -86% |
| Uniform Medical Plan | Commercial|All Plans | $50.91 | ↓ -80% |
| BCBS - Premera | Commercial|All Other Plans | $59.40 | ↓ -77% |
| Sound Family Medicine | Commercial|All Plans | $67.88 | ↓ -74% |
| Molina | Commercial|Marketplace Exchange | $78.06 | ↓ -70% |
| Coordinated Care | Commercial|Ambetter Exchange | $79.42 | ↓ -69% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $86.21 | ↓ -67% |
| Cigna | Commercial|All Plans | $108.96 | ↓ -58% |
| Aetna | Commercial|AWH | $401.19 | ↑ +54% |
| Aetna | Commercial|Sound Health | $424.79 | ↑ +63% |
| First Choice | Commercial|All Plans | $430.69 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $471.99 | ↑ +81% |
| Aetna | Commercial|WEA | $471.99 | ↑ +81% |
| United | Commercial|Cascade Care | $483.79 | ↑ +86% |
| United | Commercial|All Other Plans | $483.79 | ↑ +86% |
| Aetna | Commercial|Rental | $519.19 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $530.99 | ↑ +104% |
Visitor-reported prices
Comments
Adh-sendout at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $149.76 | $30.55 – $159.52 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $227.50 | $33.94 – $122.18 |
| Swedish Medical Center Cherry Hill | Seattle | $149.76 | $30.55 – $154.43 |
| Swedish Issaquah | Issaquah | $149.76 | $30.55 – $159.52 |
| Central Medical Center | Seattle | $152.80 | $26.00 – $26.00 |
| Providence Mount Carmel Hospital | Colville | $506.10 | not published |
| Swedish Edmonds Hospital | Edmonds | $149.76 | $33.94 – $152.73 |
| Providence St Mary Medical Center | Walla Walla | $48.30 | $33.94 – $62.79 |