Biopsy of prostate at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$2,281.77
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.
$5,170.00
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.
$2,387.37 with Kaiser vs $8,838.70 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 | $2,387.37 | ↑ +5% |
| CHPW | Medicare|All Plans | $2,387.37 | ↑ +5% |
| Wellcare | Medicare|All Plans | $2,411.06 | ↑ +6% |
| Optum | Medicare|All Plans | $2,411.24 | ↑ +6% |
| BCBS - Regence | Medicare|All Plans | $2,458.99 | ↑ +8% |
| Aetna | Medicare|All Plans | $2,458.99 | ↑ +8% |
| BCBS - Premera | Medicare|All Plans | $2,458.99 | ↑ +8% |
| Humana | Medicare|All Plans | $2,554.49 | ↑ +12% |
| United | Medicare|All Plans | $2,578.36 | ↑ +13% |
| Molina | Medicare|All Plans | $2,578.36 | ↑ +13% |
| Cigna | Commercial|All Plans | $3,257.10 | ↑ +43% |
| Aetna | Commercial|AWH | $3,515.60 | ↑ +54% |
| Aetna | Commercial|Sound Health | $3,722.40 | ↑ +63% |
| First Choice | Commercial|All Plans | $3,774.10 | ↑ +65% |
| Aetna | Commercial|WEA | $4,136.00 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $4,136.00 | ↑ +81% |
| United | Commercial|Cascade Care | $4,239.40 | ↑ +86% |
| United | Commercial|All Other Plans | $4,239.40 | ↑ +86% |
| Aetna | Commercial|Rental | $4,549.60 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $4,653.00 | ↑ +104% |
| Sound Family Medicine | Commercial|All Plans | $4,774.74 | ↑ +109% |
| Molina | Commercial|Marketplace Exchange | $5,490.95 | ↑ +141% |
| Coordinated Care | Commercial|Ambetter Exchange | $5,586.45 | ↑ +145% |
| Uniform Medical Plan | Commercial|All Plans | $5,632.57 | ↑ +147% |
| BCBS - Regence | Commercial|All Plans | $6,475.79 | ↑ +184% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $7,998.76 | ↑ +251% |
| Kaiser | Commercial|All Plans | $8,742.05 | ↑ +283% |
| BCBS - Premera | Commercial|All Other Plans | $8,838.70 | ↑ +287% |
Visitor-reported prices
Comments
Biopsy of prostate at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $1,144.50 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $5,869.44 | $5,425.12 – $8,627.45 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,735.20 | $4,091.32 – $16,508.00 |
| Swedish Medical Center Cherry Hill | Seattle | $5,869.44 | $5,425.12 – $8,308.57 |
| Swedish Issaquah | Issaquah | $5,869.44 | $4,503.96 – $10,403.00 |
| Providence Mount Carmel Hospital | Colville | $1,477.70 | not published |
| Providence St Mary Medical Center | Walla Walla | $3,922.10 | $1,804.81 – $13,809.00 |
| Kadlec Regional Medical Center | Richland | $2,400.30 | $216.87 – $10,013.00 |