Avulsion nail plate partial/complete simple single nail plate at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$341.00
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.
$772.62
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.
$231.57 with Kaiser vs $868.75 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $231.57 | ↓ -32% |
| CHPW | Medicare|All Plans | $231.57 | ↓ -32% |
| Optum | Medicare|All Plans | $233.89 | ↓ -31% |
| Wellcare | Medicare|All Plans | $236.98 | ↓ -31% |
| BCBS - Regence | Medicare|All Plans | $238.52 | ↓ -30% |
| Aetna | Medicare|All Plans | $238.52 | ↓ -30% |
| BCBS - Premera | Medicare|All Plans | $238.52 | ↓ -30% |
| Humana | Medicare|All Plans | $247.78 | ↓ -27% |
| United | Medicare|All Plans | $250.10 | ↓ -27% |
| Molina | Medicare|All Plans | $250.10 | ↓ -27% |
| Sound Family Medicine | Commercial|All Plans | $463.14 | ↑ +36% |
| Cigna | Commercial|All Plans | $486.76 | ↑ +43% |
| Aetna | Commercial|AWH | $525.39 | ↑ +54% |
| Molina | Commercial|Marketplace Exchange | $532.61 | ↑ +56% |
| Coordinated Care | Commercial|Ambetter Exchange | $541.87 | ↑ +59% |
| Uniform Medical Plan | Commercial|All Plans | $553.63 | ↑ +62% |
| Aetna | Commercial|Sound Health | $556.29 | ↑ +63% |
| First Choice | Commercial|All Plans | $564.02 | ↑ +65% |
| Aetna | Commercial|WEA | $618.10 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $618.10 | ↑ +81% |
| United | Commercial|All Other Plans | $633.55 | ↑ +86% |
| United | Commercial|Cascade Care | $633.55 | ↑ +86% |
| BCBS - Regence | Commercial|All Plans | $636.51 | ↑ +87% |
| Aetna | Commercial|Rental | $679.91 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $695.36 | ↑ +104% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $786.19 | ↑ +131% |
| Kaiser | Commercial|All Plans | $851.07 | ↑ +150% |
| BCBS - Premera | Commercial|All Other Plans | $868.75 | ↑ +155% |
Visitor-reported prices
Comments
Avulsion nail plate partial/complete simple single nail plate at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $365.40 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $551.04 | $232.33 – $821.23 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $520.10 | $223.58 – $569.00 |
| Swedish Medical Center Cherry Hill | Seattle | $551.04 | $232.33 – $795.02 |
| Swedish Issaquah | Issaquah | $551.04 | $232.98 – $821.23 |
| Providence Centralia Hospital | Centralia | $516.36 | $232.33 – $1,022.17 |
| Providence Mount Carmel Hospital | Colville | $365.40 | not published |
| Providence St Mary Medical Center | Walla Walla | $583.10 | $177.40 – $793.27 |