Consultation pathology during surgery at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$151.02
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.
?
What you pay up front if you don't use insurance.
$342.17
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.
?
The hospital's undiscounted list price — almost no one pays this.
$69.23 with CHPW vs $307.96 with MultiPlan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $69.23 | ↓ -54% |
| Kaiser | Medicare|All Plans | $69.23 | ↓ -54% |
| Optum | Medicare|All Plans | $69.92 | ↓ -54% |
| Aetna | Medicare|All Plans | $71.31 | ↓ -53% |
| BCBS - Regence | Medicare|All Plans | $71.31 | ↓ -53% |
| BCBS - Premera | Medicare|All Plans | $71.31 | ↓ -53% |
| Wellcare | Medicare|All Plans | $72.40 | ↓ -52% |
| Humana | Medicare|All Plans | $74.08 | ↓ -51% |
| United | Medicare|All Plans | $74.77 | ↓ -50% |
| Molina | Medicare|All Plans | $74.77 | ↓ -50% |
| Cigna | Commercial|All Plans | $99.20 | ↓ -34% |
| Sound Family Medicine | Commercial|All Plans | $138.46 | ↓ -8% |
| Molina | Commercial|Marketplace Exchange | $159.23 | ↑ +5% |
| Kaiser | Commercial|All Plans | $160.05 | ↑ +6% |
| Coordinated Care | Commercial|Ambetter Exchange | $162.00 | ↑ +7% |
| Uniform Medical Plan | Commercial|All Plans | $169.15 | ↑ +12% |
| BCBS - Regence | Commercial|All Plans | $194.47 | ↑ +29% |
| Aetna | Commercial|AWH | $232.68 | ↑ +54% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $240.19 | ↑ +59% |
| Aetna | Commercial|Sound Health | $246.37 | ↑ +63% |
| First Choice | Commercial|All Plans | $249.79 | ↑ +65% |
| BCBS - Premera | Commercial|All Other Plans | $265.41 | ↑ +76% |
| Aetna | Commercial|WEA | $273.74 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $273.74 | ↑ +81% |
| United | Commercial|Cascade Care | $280.58 | ↑ +86% |
| United | Commercial|All Other Plans | $280.58 | ↑ +86% |
| Aetna | Commercial|Rental | $301.11 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $307.96 | ↑ +104% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $147.20 | $153.00 – $153.00 |
| Kadlec Regional Medical Center | Richland | $179.20 | $59.10 – $130.71 |
| St. Anne Hospital | Burien | $104.49 | $56.05 – $307.96 |
| St. Anthony Hospital | Gig Harbor | $104.08 | $56.05 – $256.63 |
| St. Joseph Medical Center | Tacoma | $113.33 | $56.05 – $256.63 |
| St. Elizabeth Hospital | Enumclaw | $120.92 | $56.05 – $307.96 |
| St. Francis Hospital | Federal Way | $107.39 | $56.05 – $256.63 |
| St. Clare Hospital | Lakewood | $98.63 | $56.05 – $256.63 |