Biliary endoscopy thru skin at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$4,826.26
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.
$10,935.25
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.
$6,889.21 with Cigna vs $44,669.31 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 | $6,889.21 | ↑ +43% |
| Aetna | Commercial|AWH | $7,435.97 | ↑ +54% |
| Aetna | Commercial|Sound Health | $7,873.38 | ↑ +63% |
| First Choice | Commercial|All Plans | $7,982.74 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $8,748.20 | ↑ +81% |
| Aetna | Commercial|WEA | $8,748.20 | ↑ +81% |
| United | Commercial|Cascade Care | $8,966.91 | ↑ +86% |
| United | Commercial|All Other Plans | $8,966.91 | ↑ +86% |
| Aetna | Commercial|Rental | $9,623.02 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $9,841.73 | ↑ +104% |
| Kaiser | Medicare|All Plans | $12,133.44 | ↑ +151% |
| CHPW | Medicare|All Plans | $12,133.44 | ↑ +151% |
| Wellcare | Medicare|All Plans | $12,185.05 | ↑ +152% |
| Optum | Medicare|All Plans | $12,254.77 | ↑ +154% |
| Aetna | Medicare|All Plans | $12,497.44 | ↑ +159% |
| BCBS - Regence | Medicare|All Plans | $12,497.44 | ↑ +159% |
| BCBS - Premera | Medicare|All Plans | $12,497.44 | ↑ +159% |
| Humana | Medicare|All Plans | $12,982.78 | ↑ +169% |
| United | Medicare|All Plans | $13,104.12 | ↑ +172% |
| Molina | Medicare|All Plans | $13,104.12 | ↑ +172% |
| Sound Family Medicine | Commercial|All Plans | $24,266.88 | ↑ +403% |
| Kaiser | Commercial|All Plans | $24,564.86 | ↑ +409% |
| Molina | Commercial|Marketplace Exchange | $27,906.91 | ↑ +478% |
| Coordinated Care | Commercial|Ambetter Exchange | $28,392.25 | ↑ +488% |
| Uniform Medical Plan | Commercial|All Plans | $28,466.04 | ↑ +490% |
| BCBS - Regence | Commercial|All Plans | $32,727.51 | ↑ +578% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $40,424.39 | ↑ +738% |
| BCBS - Premera | Commercial|All Other Plans | $44,669.31 | ↑ +826% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $12,201.60 | $7,277.00 – $37,395.46 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $11,128.60 | $9,231.00 – $30,146.28 |
| Swedish Medical Center Cherry Hill | Seattle | $12,201.60 | $7,277.00 – $28,803.62 |
| Swedish Issaquah | Issaquah | $12,201.60 | $7,277.00 – $27,403.18 |
| Kadlec Regional Medical Center | Richland | $11,217.50 | $1,014.49 – $21,913.80 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $10,575.76 | $9,161.00 – $28,084.26 |
| MultiCare Valley Hospital | Spokane Valley | $10,156.40 | $2,914.39 – $33,386.28 |
| MultiCare Yakima Memorial Hospital | Yakima | $10,156.40 | $8,020.09 – $32,037.81 |