Bx vulva or perineum/1 lesion 56605 at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$398.25
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.
$902.33
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.
$568.47 with Cigna vs $3,488.57 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 | $568.47 | ↑ +43% |
| Aetna | Commercial|AWH | $613.59 | ↑ +54% |
| Aetna | Commercial|Sound Health | $649.68 | ↑ +63% |
| First Choice | Commercial|All Plans | $658.71 | ↑ +65% |
| Aetna | Commercial|WEA | $721.87 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $721.87 | ↑ +81% |
| United | Commercial|Cascade Care | $739.92 | ↑ +86% |
| United | Commercial|All Other Plans | $739.92 | ↑ +86% |
| Aetna | Commercial|Rental | $794.06 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $812.10 | ↑ +104% |
| Wellcare | Medicare|All Plans | $951.62 | ↑ +139% |
| CHPW | Medicare|All Plans | $1,014.78 | ↑ +155% |
| Kaiser | Medicare|All Plans | $1,014.78 | ↑ +155% |
| Optum | Medicare|All Plans | $1,024.93 | ↑ +157% |
| Aetna | Medicare|All Plans | $1,045.22 | ↑ +162% |
| BCBS - Premera | Medicare|All Plans | $1,045.22 | ↑ +162% |
| BCBS - Regence | Medicare|All Plans | $1,045.22 | ↑ +162% |
| Humana | Medicare|All Plans | $1,085.81 | ↑ +173% |
| United | Medicare|All Plans | $1,095.96 | ↑ +175% |
| Molina | Medicare|All Plans | $1,095.96 | ↑ +175% |
| Sound Family Medicine | Commercial|All Plans | $2,029.56 | ↑ +410% |
| Uniform Medical Plan | Commercial|All Plans | $2,223.12 | ↑ +458% |
| Molina | Commercial|Marketplace Exchange | $2,333.99 | ↑ +486% |
| Coordinated Care | Commercial|Ambetter Exchange | $2,374.59 | ↑ +496% |
| BCBS - Regence | Commercial|All Plans | $2,555.93 | ↑ +542% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $3,157.05 | ↑ +693% |
| Kaiser | Commercial|All Plans | $3,315.45 | ↑ +733% |
| BCBS - Premera | Commercial|All Other Plans | $3,488.57 | ↑ +776% |
Visitor-reported prices
Comments
Bx vulva or perineum/1 lesion 56605 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $1,206.10 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $1,155.36 | $1,066.57 – $3,240.23 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,722.00 | $1,026.37 – $2,612.11 |
| Swedish Medical Center Cherry Hill | Seattle | $1,155.36 | $1,066.57 – $2,904.99 |
| Swedish Issaquah | Issaquah | $1,155.36 | $1,069.56 – $3,000.76 |
| Providence Centralia Hospital | Centralia | $1,750.83 | $1,066.57 – $3,734.99 |
| Providence Mount Carmel Hospital | Colville | $1,340.50 | not published |
| Swedish Edmonds Hospital | Edmonds | $1,101.12 | $1,048.90 – $2,873.07 |