Cystostomy cystotomy w/drainage 51040 at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$1,432.81
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.
$3,246.42
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.
$2,045.25 with Cigna vs $8,838.70 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 | $2,045.25 | ↑ +43% |
| Aetna | Commercial|AWH | $2,207.57 | ↑ +54% |
| Aetna | Commercial|Sound Health | $2,337.43 | ↑ +63% |
| First Choice | Commercial|All Plans | $2,369.89 | ↑ +65% |
| Kaiser | Medicare|All Plans | $2,387.37 | ↑ +67% |
| CHPW | Medicare|All Plans | $2,387.37 | ↑ +67% |
| Wellcare | Medicare|All Plans | $2,411.06 | ↑ +68% |
| Optum | Medicare|All Plans | $2,411.24 | ↑ +68% |
| BCBS - Premera | Medicare|All Plans | $2,458.99 | ↑ +72% |
| Aetna | Medicare|All Plans | $2,458.99 | ↑ +72% |
| BCBS - Regence | Medicare|All Plans | $2,458.99 | ↑ +72% |
| Humana | Medicare|All Plans | $2,554.49 | ↑ +78% |
| Molina | Medicare|All Plans | $2,578.36 | ↑ +80% |
| United | Medicare|All Plans | $2,578.36 | ↑ +80% |
| Aetna | Commercial|All Other Plans | $2,597.14 | ↑ +81% |
| Aetna | Commercial|WEA | $2,597.14 | ↑ +81% |
| United | Commercial|Cascade Care | $2,662.07 | ↑ +86% |
| United | Commercial|All Other Plans | $2,662.07 | ↑ +86% |
| Aetna | Commercial|Rental | $2,856.85 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $2,921.78 | ↑ +104% |
| Sound Family Medicine | Commercial|All Plans | $4,774.74 | ↑ +233% |
| Molina | Commercial|Marketplace Exchange | $5,490.95 | ↑ +283% |
| Coordinated Care | Commercial|Ambetter Exchange | $5,586.45 | ↑ +290% |
| Uniform Medical Plan | Commercial|All Plans | $5,632.57 | ↑ +293% |
| BCBS - Regence | Commercial|All Plans | $6,475.79 | ↑ +352% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $7,998.76 | ↑ +458% |
| Kaiser | Commercial|All Plans | $8,742.05 | ↑ +510% |
| BCBS - Premera | Commercial|All Other Plans | $8,838.70 | ↑ +517% |
Visitor-reported prices
Comments
Cystostomy cystotomy w/drainage 51040 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $3,774.40 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $5,273.76 | $2,420.64 – $8,627.45 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $5,341.00 | $2,329.41 – $5,928.34 |
| Swedish Medical Center Cherry Hill | Seattle | $5,273.76 | $2,420.64 – $8,308.57 |
| Swedish Issaquah | Issaquah | $5,273.76 | $2,427.43 – $8,627.45 |
| Providence Centralia Hospital | Centralia | $3,875.56 | $2,420.64 – $10,363.57 |
| Providence Mount Carmel Hospital | Colville | $5,218.50 | not published |
| Providence St Mary Medical Center | Walla Walla | $4,235.70 | $1,804.81 – $4,309.40 |