Asp & inj w/heparin pleurx cath at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$479.79
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.
$1,087.08
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.
$104.09 with Cigna vs $2,726.47 with Kaiser — 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 | $104.09 | ↓ -78% |
| Aetna | Commercial|AWH | $112.35 | ↓ -77% |
| Aetna | Commercial|Sound Health | $118.96 | ↓ -75% |
| First Choice | Commercial|All Plans | $120.61 | ↓ -75% |
| Aetna | Commercial|WEA | $132.17 | ↓ -72% |
| Aetna | Commercial|All Other Plans | $132.17 | ↓ -72% |
| United | Commercial|Cascade Care | $135.48 | ↓ -72% |
| United | Commercial|All Other Plans | $135.48 | ↓ -72% |
| Aetna | Commercial|Rental | $145.39 | ↓ -70% |
| MultiPlan | Commercial|All Plans | $148.69 | ↓ -69% |
| Kaiser | Medicare|All Plans | $720.53 | ↑ +50% |
| CHPW | Medicare|All Plans | $720.53 | ↑ +50% |
| Optum | Medicare|All Plans | $727.74 | ↑ +52% |
| BCBS - Premera | Medicare|All Plans | $742.15 | ↑ +55% |
| BCBS - Regence | Medicare|All Plans | $742.15 | ↑ +55% |
| Aetna | Medicare|All Plans | $742.15 | ↑ +55% |
| Wellcare | Medicare|All Plans | $743.63 | ↑ +55% |
| Humana | Medicare|All Plans | $770.97 | ↑ +61% |
| United | Medicare|All Plans | $778.17 | ↑ +62% |
| Molina | Medicare|All Plans | $778.17 | ↑ +62% |
| Sound Family Medicine | Commercial|All Plans | $1,441.06 | ↑ +200% |
| Molina | Commercial|Marketplace Exchange | $1,657.22 | ↑ +245% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,686.04 | ↑ +251% |
| Uniform Medical Plan | Commercial|All Plans | $1,737.23 | ↑ +262% |
| BCBS - Regence | Commercial|All Plans | $1,997.30 | ↑ +316% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $2,467.02 | ↑ +414% |
| BCBS - Premera | Commercial|All Other Plans | $2,726.08 | ↑ +468% |
| Kaiser | Commercial|All Plans | $2,726.47 | ↑ +468% |
Visitor-reported prices
Comments
Asp & inj w/heparin pleurx cath at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $1,652.16 | $726.41 – $2,963.40 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,379.70 | $699.03 – $1,954.58 |
| Swedish Medical Center Cherry Hill | Seattle | $1,652.16 | $726.41 – $2,868.82 |
| Swedish Issaquah | Issaquah | $1,652.16 | $728.45 – $2,963.40 |
| Central Medical Center | Seattle | $1,440.00 | not published |
| Kadlec Regional Medical Center | Richland | $9,816.80 | $699.03 – $2,339.19 |
| Providence Holy Family Hospital | Spokane | $1,773.80 | $699.03 – $11,241.00 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $1,277.12 | $714.37 – $7,246.00 |