Biopsy of rectum wall anal approach 45100 at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
not published by hospital
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.
not published by hospital
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.
$3,196.04 with Kaiser vs $12,184.36 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 | $3,196.04 | — |
| CHPW | Medicare|All Plans | $3,196.04 | — |
| Optum | Medicare|All Plans | $3,228.00 | — |
| BCBS - Regence | Medicare|All Plans | $3,291.92 | — |
| Aetna | Medicare|All Plans | $3,291.92 | — |
| BCBS - Premera | Medicare|All Plans | $3,291.92 | — |
| Wellcare | Medicare|All Plans | $3,323.69 | — |
| Humana | Medicare|All Plans | $3,419.76 | — |
| United | Medicare|All Plans | $3,451.72 | — |
| Molina | Medicare|All Plans | $3,451.72 | — |
| Sound Family Medicine | Commercial|All Plans | $6,392.08 | — |
| Molina | Commercial|Marketplace Exchange | $7,350.89 | — |
| Coordinated Care | Commercial|Ambetter Exchange | $7,478.73 | — |
| Uniform Medical Plan | Commercial|All Plans | $7,764.62 | — |
| BCBS - Regence | Commercial|All Plans | $8,927.01 | — |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $11,026.48 | — |
| Kaiser | Commercial|All Plans | $12,109.91 | — |
| BCBS - Premera | Commercial|All Other Plans | $12,184.36 | — |
| First Choice | Commercial|All Plans | not published by hospital | — |
| Aetna | Commercial|WEA | not published by hospital | — |
| Aetna | Commercial|Rental | not published by hospital | — |
| Aetna | Commercial|AWH | not published by hospital | — |
| Aetna | Commercial|All Other Plans | not published by hospital | — |
| United | Commercial|Cascade Care | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Cigna | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| Aetna | Commercial|Sound Health | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of rectum wall anal approach 45100 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $7,704.48 | $3,214.19 – $11,416.16 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $6,148.10 | $3,093.04 – $7,871.79 |
| Swedish Medical Center Cherry Hill | Seattle | $7,704.48 | $3,214.19 – $10,994.20 |
| Swedish Issaquah | Issaquah | $7,704.48 | $3,223.20 – $11,416.16 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $5,062.20 | $1,985.00 – $8,884.44 |
| MultiCare Auburn Medical Center | Auburn | $6,146.00 | $1,022.08 – $13,323.79 |
| MultiCare Good Samaritan Hospital | Puyallup | $6,146.00 | $1,045.71 – $13,323.79 |
| Virginia Mason Medical Center | Seattle | $3,991.26 | $4.86 – $1,301.70 |