Electron microscopy diagnostic at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$781.39
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.
$1,770.44
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.
$713.24 with Cigna vs $3,731.46 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 | $713.24 | ↓ -9% |
| CHPW | Medicare|All Plans | $952.03 | ↑ +22% |
| Kaiser | Medicare|All Plans | $952.03 | ↑ +22% |
| Optum | Medicare|All Plans | $961.55 | ↑ +23% |
| Aetna | Medicare|All Plans | $980.59 | ↑ +25% |
| BCBS - Premera | Medicare|All Plans | $980.59 | ↑ +25% |
| BCBS - Regence | Medicare|All Plans | $980.59 | ↑ +25% |
| Wellcare | Medicare|All Plans | $1,017.88 | ↑ +30% |
| Humana | Medicare|All Plans | $1,018.67 | ↑ +30% |
| Molina | Medicare|All Plans | $1,028.19 | ↑ +32% |
| United | Medicare|All Plans | $1,028.19 | ↑ +32% |
| Aetna | Commercial|AWH | $1,056.06 | ↑ +35% |
| Aetna | Commercial|Sound Health | $1,118.18 | ↑ +43% |
| First Choice | Commercial|All Plans | $1,133.71 | ↑ +45% |
| Aetna | Commercial|All Other Plans | $1,242.42 | ↑ +59% |
| Aetna | Commercial|WEA | $1,242.42 | ↑ +59% |
| United | Commercial|All Other Plans | $1,273.48 | ↑ +63% |
| United | Commercial|Cascade Care | $1,273.48 | ↑ +63% |
| Aetna | Commercial|Rental | $1,366.66 | ↑ +75% |
| MultiPlan | Commercial|All Plans | $1,397.72 | ↑ +79% |
| Sound Family Medicine | Commercial|All Plans | $1,904.06 | ↑ +144% |
| Molina | Commercial|Marketplace Exchange | $2,189.67 | ↑ +180% |
| Coordinated Care | Commercial|Ambetter Exchange | $2,227.75 | ↑ +185% |
| Uniform Medical Plan | Commercial|All Plans | $2,377.91 | ↑ +204% |
| BCBS - Regence | Commercial|All Plans | $2,733.89 | ↑ +250% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $3,376.86 | ↑ +332% |
| Kaiser | Commercial|All Plans | $3,659.69 | ↑ +368% |
| BCBS - Premera | Commercial|All Other Plans | $3,731.46 | ↑ +378% |
Visitor-reported prices
Comments
Electron microscopy diagnostic at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $425.60 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $829.44 | $785.37 – $2,952.54 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,113.30 | $863.91 – $2,284.91 |
| Swedish Medical Center Cherry Hill | Seattle | $829.44 | $785.37 – $2,858.31 |
| Swedish Issaquah | Issaquah | $829.44 | $785.37 – $2,952.54 |
| Central Medical Center | Seattle | $1,807.20 | $2,078.00 – $2,078.00 |
| Providence Mount Carmel Hospital | Colville | $410.90 | not published |
| Swedish Edmonds Hospital | Edmonds | $829.44 | $785.37 – $2,826.90 |