Bx perianal mass 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.
$1,062.53 with Kaiser vs $3,966.11 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 | $1,062.53 | — |
| CHPW | Medicare|All Plans | $1,062.53 | — |
| Optum | Medicare|All Plans | $1,073.16 | — |
| Wellcare | Medicare|All Plans | $1,081.88 | — |
| BCBS - Regence | Medicare|All Plans | $1,094.41 | — |
| Aetna | Medicare|All Plans | $1,094.41 | — |
| BCBS - Premera | Medicare|All Plans | $1,094.41 | — |
| Humana | Medicare|All Plans | $1,136.91 | — |
| Molina | Medicare|All Plans | $1,147.53 | — |
| United | Medicare|All Plans | $1,147.53 | — |
| Sound Family Medicine | Commercial|All Plans | $2,125.06 | — |
| Molina | Commercial|Marketplace Exchange | $2,443.82 | — |
| Coordinated Care | Commercial|Ambetter Exchange | $2,486.32 | — |
| Uniform Medical Plan | Commercial|All Plans | $2,527.44 | — |
| BCBS - Regence | Commercial|All Plans | $2,905.81 | — |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $3,589.21 | — |
| Kaiser | Commercial|All Plans | $3,916.69 | — |
| BCBS - Premera | Commercial|All Other Plans | $3,966.11 | — |
| 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
Bx perianal mass at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $1,600.20 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,810.90 | $1,036.29 – $2,637.37 |
| Providence Centralia Hospital | Centralia | $1,736.28 | $1,076.88 – $4,468.70 |
| Providence Mount Carmel Hospital | Colville | $1,923.60 | not published |
| Providence St Mary Medical Center | Walla Walla | $3,235.40 | $809.85 – $3,468.02 |
| Kadlec Regional Medical Center | Richland | $3,887.80 | $1,036.29 – $2,833.99 |
| Providence Holy Family Hospital | Spokane | $2,089.50 | $1,036.29 – $3,379.00 |
| Providence St Peter Hospital | Olympia | $1,736.28 | $909.10 – $3,590.24 |