Biopsy of heart lining at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$1,860.00
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.
$4,214.34
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.
$2,655.04 with Cigna vs $14,039.89 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 | $2,655.04 | ↑ +43% |
| Aetna | Commercial|AWH | $2,865.76 | ↑ +54% |
| Aetna | Commercial|Sound Health | $3,034.33 | ↑ +63% |
| First Choice | Commercial|All Plans | $3,076.47 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $3,371.48 | ↑ +81% |
| Aetna | Commercial|WEA | $3,371.48 | ↑ +81% |
| United | Commercial|Cascade Care | $3,455.76 | ↑ +86% |
| United | Commercial|All Other Plans | $3,455.76 | ↑ +86% |
| Kaiser | Medicare|All Plans | $3,668.16 | ↑ +97% |
| CHPW | Medicare|All Plans | $3,668.16 | ↑ +97% |
| Optum | Medicare|All Plans | $3,704.84 | ↑ +99% |
| Aetna | Commercial|Rental | $3,708.62 | ↑ +99% |
| Wellcare | Medicare|All Plans | $3,773.14 | ↑ +103% |
| Aetna | Medicare|All Plans | $3,778.20 | ↑ +103% |
| BCBS - Regence | Medicare|All Plans | $3,778.20 | ↑ +103% |
| BCBS - Premera | Medicare|All Plans | $3,778.20 | ↑ +103% |
| MultiPlan | Commercial|All Plans | $3,792.91 | ↑ +104% |
| Humana | Medicare|All Plans | $3,924.93 | ↑ +111% |
| United | Medicare|All Plans | $3,961.61 | ↑ +113% |
| Molina | Medicare|All Plans | $3,961.61 | ↑ +113% |
| Sound Family Medicine | Commercial|All Plans | $7,336.32 | ↑ +294% |
| Molina | Commercial|Marketplace Exchange | $8,436.77 | ↑ +354% |
| Coordinated Care | Commercial|Ambetter Exchange | $8,583.49 | ↑ +361% |
| Uniform Medical Plan | Commercial|All Plans | $8,814.62 | ↑ +374% |
| BCBS - Regence | Commercial|All Plans | $10,134.20 | ↑ +445% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $12,517.58 | ↑ +573% |
| BCBS - Premera | Commercial|All Other Plans | $13,832.03 | ↑ +644% |
| Kaiser | Commercial|All Plans | $14,039.89 | ↑ +655% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $8,451.84 | $3,656.33 – $13,496.13 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,942.40 | $3,518.52 – $8,954.64 |
| Swedish Medical Center Cherry Hill | Seattle | $8,451.84 | $3,656.33 – $12,997.30 |
| Swedish Issaquah | Issaquah | $8,451.84 | $3,666.59 – $13,496.13 |
| Central Medical Center | Seattle | $6,150.40 | not published |
| Providence St Mary Medical Center | Walla Walla | $4,561.90 | $2,824.42 – $6,509.26 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $2,476.76 | $1,985.00 – $10,503.15 |
| MultiCare Valley Hospital | Spokane Valley | $4,083.60 | $1,596.86 – $13,256.42 |