Endo abl/incom vein/ext/laser/#1 36478 at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$2,333.06
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.
$5,286.21
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.
$3,330.32 with Cigna vs $14,039.89 with Kaiser — 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $3,330.32 | ↑ +43% |
| Aetna | Commercial|AWH | $3,594.63 | ↑ +54% |
| CHPW | Medicare|All Plans | $3,668.16 | ↑ +57% |
| Kaiser | Medicare|All Plans | $3,668.16 | ↑ +57% |
| Optum | Medicare|All Plans | $3,704.84 | ↑ +59% |
| Wellcare | Medicare|All Plans | $3,773.14 | ↑ +62% |
| BCBS - Premera | Medicare|All Plans | $3,778.20 | ↑ +62% |
| Aetna | Medicare|All Plans | $3,778.20 | ↑ +62% |
| BCBS - Regence | Medicare|All Plans | $3,778.20 | ↑ +62% |
| Aetna | Commercial|Sound Health | $3,806.08 | ↑ +63% |
| First Choice | Commercial|All Plans | $3,858.94 | ↑ +65% |
| Humana | Medicare|All Plans | $3,924.93 | ↑ +68% |
| Molina | Medicare|All Plans | $3,961.61 | ↑ +70% |
| United | Medicare|All Plans | $3,961.61 | ↑ +70% |
| Aetna | Commercial|WEA | $4,228.97 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $4,228.97 | ↑ +81% |
| United | Commercial|Cascade Care | $4,334.70 | ↑ +86% |
| United | Commercial|All Other Plans | $4,334.70 | ↑ +86% |
| Aetna | Commercial|Rental | $4,651.87 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $4,757.59 | ↑ +104% |
| Sound Family Medicine | Commercial|All Plans | $7,336.32 | ↑ +214% |
| Molina | Commercial|Marketplace Exchange | $8,436.77 | ↑ +262% |
| Coordinated Care | Commercial|Ambetter Exchange | $8,583.49 | ↑ +268% |
| Uniform Medical Plan | Commercial|All Plans | $8,814.62 | ↑ +278% |
| BCBS - Regence | Commercial|All Plans | $10,134.20 | ↑ +334% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $12,517.58 | ↑ +437% |
| BCBS - Premera | Commercial|All Other Plans | $13,832.03 | ↑ +493% |
| Kaiser | Commercial|All Plans | $14,039.89 | ↑ +502% |
Visitor-reported prices
Comments
Endo abl/incom vein/ext/laser/#1 36478 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $7,280.00 | not published |
| Providence St Mary Medical Center | Walla Walla | $8,379.00 | $2,824.42 – $6,509.26 |
| Kadlec Regional Medical Center | Richland | $20,351.80 | $465.28 – $10,281.45 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $3,116.88 | $3,595.75 – $24,031.00 |
| St. Anne Hospital | Burien | $1,614.18 | $2,273.08 – $4,757.59 |
| St. Anthony Hospital | Gig Harbor | $1,607.80 | $3,806.08 – $8,105.48 |
| St. Joseph Medical Center | Tacoma | $1,750.78 | $3,806.08 – $8,105.48 |
| St. Elizabeth Hospital | Enumclaw | $1,867.96 | $898.66 – $4,757.59 |