Cdna analysis for variants at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$338.23
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.
$766.34
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.
$185.20 with CHPW vs $872.85 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 |
|---|---|---|---|
| CHPW | Medicare|All Plans | $185.20 | ↓ -45% |
| Kaiser | Medicare|All Plans | $185.20 | ↓ -45% |
| BCBS - Regence | Medicare|All Plans | $185.20 | ↓ -45% |
| Optum | Medicare|All Plans | $187.05 | ↓ -45% |
| BCBS - Premera | Medicare|All Plans | $190.76 | ↓ -44% |
| Aetna | Medicare|All Plans | $190.76 | ↓ -44% |
| BCBS - Regence | Commercial|All Plans | $194.46 | ↓ -43% |
| Humana | Medicare|All Plans | $198.16 | ↓ -41% |
| Molina | Medicare|All Plans | $200.02 | ↓ -41% |
| Wellcare | Medicare|All Plans | $200.02 | ↓ -41% |
| United | Medicare|All Plans | $200.02 | ↓ -41% |
| Uniform Medical Plan | Commercial|All Plans | $277.80 | ↓ -18% |
| BCBS - Premera | Commercial|All Other Plans | $324.10 | ↓ -4% |
| Sound Family Medicine | Commercial|All Plans | $370.40 | ↑ +10% |
| Molina | Commercial|Marketplace Exchange | $425.96 | ↑ +26% |
| Coordinated Care | Commercial|Ambetter Exchange | $433.37 | ↑ +28% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $470.41 | ↑ +39% |
| Cigna | Commercial|All Plans | $481.52 | ↑ +42% |
| Aetna | Commercial|AWH | $520.69 | ↑ +54% |
| Aetna | Commercial|Sound Health | $551.32 | ↑ +63% |
| First Choice | Commercial|All Plans | $558.97 | ↑ +65% |
| Aetna | Commercial|WEA | $612.57 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $612.57 | ↑ +81% |
| United | Commercial|All Other Plans | $627.89 | ↑ +86% |
| United | Commercial|Cascade Care | $627.89 | ↑ +86% |
| Aetna | Commercial|Rental | $673.83 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $689.14 | ↑ +104% |
| Kaiser | Commercial|All Plans | $872.85 | ↑ +158% |
Visitor-reported prices
Comments
Cdna analysis for variants at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $387.84 | $166.68 – $562.64 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $632.10 | $185.20 – $471.33 |
| Swedish Medical Center Cherry Hill | Seattle | $387.84 | $166.68 – $555.60 |
| Swedish Issaquah | Issaquah | $387.84 | $166.68 – $411.14 |
| Providence Mount Carmel Hospital | Colville | $345.10 | not published |
| Swedish Edmonds Hospital | Edmonds | $387.84 | $185.20 – $740.80 |
| Providence St Mary Medical Center | Walla Walla | $448.70 | $185.20 – $342.62 |
| Kadlec Regional Medical Center | Richland | $592.90 | $185.20 – $342.62 |