ER Visit (level 2) at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$555.66
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.
$1,259.00
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.
$184.56 with Kaiser vs $1,133.10 with MultiPlan — 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $184.56 | ↓ -67% |
| CHPW | Medicare|All Plans | $184.56 | ↓ -67% |
| Optum | Medicare|All Plans | $186.41 | ↓ -66% |
| BCBS - Regence | Medicare|All Plans | $190.10 | ↓ -66% |
| Aetna | Medicare|All Plans | $190.10 | ↓ -66% |
| BCBS - Premera | Medicare|All Plans | $190.10 | ↓ -66% |
| Wellcare | Medicare|All Plans | $193.60 | ↓ -65% |
| Humana | Medicare|All Plans | $197.48 | ↓ -64% |
| United | Medicare|All Plans | $199.32 | ↓ -64% |
| Molina | Medicare|All Plans | $199.32 | ↓ -64% |
| Sound Family Medicine | Commercial|All Plans | $369.12 | ↓ -34% |
| Molina | Commercial|Marketplace Exchange | $424.49 | ↓ -24% |
| Coordinated Care | Commercial|Ambetter Exchange | $431.87 | ↓ -22% |
| Uniform Medical Plan | Commercial|All Plans | $452.28 | ↓ -19% |
| BCBS - Regence | Commercial|All Plans | $519.99 | ↓ -6% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $642.27 | ↑ +16% |
| Kaiser | Commercial|All Plans | $658.36 | ↑ +18% |
| BCBS - Premera | Commercial|All Other Plans | $709.72 | ↑ +28% |
| Cigna | Commercial|All Plans | $793.17 | ↑ +43% |
| Aetna | Commercial|AWH | $856.12 | ↑ +54% |
| Aetna | Commercial|Sound Health | $906.48 | ↑ +63% |
| First Choice | Commercial|All Plans | $919.07 | ↑ +65% |
| Aetna | Commercial|WEA | $1,007.20 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $1,007.20 | ↑ +81% |
| United | Commercial|Cascade Care | $1,032.38 | ↑ +86% |
| United | Commercial|All Other Plans | $1,032.38 | ↑ +86% |
| Aetna | Commercial|Rental | $1,107.92 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $1,133.10 | ↑ +104% |
Visitor-reported prices
Comments
ER Visit (level 2) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $237.30 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $336.00 | $177.80 – $623.17 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $452.20 | $171.10 – $435.45 |
| Swedish Medical Center Cherry Hill | Seattle | $336.00 | $177.80 – $600.13 |
| Swedish Issaquah | Issaquah | $336.00 | $178.30 – $623.17 |
| Central Medical Center | Seattle | $604.00 | $234.00 – $234.00 |
| Providence Centralia Hospital | Centralia | $539.76 | $177.80 – $797.19 |
| Providence Mount Carmel Hospital | Colville | $212.80 | not published |