App high cost ss t/a/l >100sq cm 1st 100sq cm at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$4,075.31
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.
$9,233.77
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.
$4,246.81 with Wellcare vs $15,568.42 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 |
|---|---|---|---|
| Wellcare | Medicare|All Plans | $4,246.81 | ↑ +4% |
| Kaiser | Medicare|All Plans | $4,266.57 | ↑ +5% |
| CHPW | Medicare|All Plans | $4,266.57 | ↑ +5% |
| Optum | Medicare|All Plans | $4,309.24 | ↑ +6% |
| BCBS - Regence | Medicare|All Plans | $4,394.57 | ↑ +8% |
| Aetna | Medicare|All Plans | $4,394.57 | ↑ +8% |
| BCBS - Premera | Medicare|All Plans | $4,394.57 | ↑ +8% |
| Humana | Medicare|All Plans | $4,565.23 | ↑ +12% |
| United | Medicare|All Plans | $4,607.90 | ↑ +13% |
| Molina | Medicare|All Plans | $4,607.90 | ↑ +13% |
| Cigna | Commercial|All Plans | $5,817.28 | ↑ +43% |
| Aetna | Commercial|AWH | $6,278.97 | ↑ +54% |
| Aetna | Commercial|Sound Health | $6,648.32 | ↑ +63% |
| First Choice | Commercial|All Plans | $6,740.66 | ↑ +65% |
| Aetna | Commercial|WEA | $7,387.02 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $7,387.02 | ↑ +81% |
| United | Commercial|Cascade Care | $7,571.70 | ↑ +86% |
| United | Commercial|All Other Plans | $7,571.70 | ↑ +86% |
| Aetna | Commercial|Rental | $8,125.72 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $8,310.40 | ↑ +104% |
| Sound Family Medicine | Commercial|All Plans | $8,533.14 | ↑ +109% |
| Molina | Commercial|Marketplace Exchange | $9,813.11 | ↑ +141% |
| Uniform Medical Plan | Commercial|All Plans | $9,921.16 | ↑ +143% |
| Coordinated Care | Commercial|Ambetter Exchange | $9,983.77 | ↑ +145% |
| BCBS - Regence | Commercial|All Plans | $11,406.39 | ↑ +180% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $14,088.95 | ↑ +246% |
| Kaiser | Commercial|All Plans | $15,331.58 | ↑ +276% |
| BCBS - Premera | Commercial|All Other Plans | $15,568.42 | ↑ +282% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $8,669.76 | $2,389.26 – $13,993.26 |
| Swedish Medical Center Cherry Hill | Seattle | $8,669.76 | $2,389.26 – $13,546.67 |
| Swedish Issaquah | Issaquah | $8,669.76 | $2,395.96 – $13,993.26 |
| Kadlec Regional Medical Center | Richland | $3,448.90 | $333.90 – $11,045.75 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $4,610.32 | $2,349.67 – $11,611.43 |
| MultiCare Yakima Memorial Hospital | Yakima | $4,474.40 | $2,461.46 – $11,166.01 |
| St. Anne Hospital | Burien | $2,819.59 | $3,970.53 – $8,310.40 |
| St. Anthony Hospital | Gig Harbor | $2,808.44 | $6,648.32 – $8,851.20 |