ER Visit (level 4) at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$1,759.66
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.
$3,987.00
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.
$496.26 with Kaiser vs $3,588.30 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 | $496.26 | ↓ -72% |
| CHPW | Medicare|All Plans | $496.26 | ↓ -72% |
| Optum | Medicare|All Plans | $501.22 | ↓ -72% |
| BCBS - Regence | Medicare|All Plans | $511.15 | ↓ -71% |
| Aetna | Medicare|All Plans | $511.15 | ↓ -71% |
| BCBS - Premera | Medicare|All Plans | $511.15 | ↓ -71% |
| Wellcare | Medicare|All Plans | $524.29 | ↓ -70% |
| Humana | Medicare|All Plans | $531.00 | ↓ -70% |
| United | Medicare|All Plans | $535.96 | ↓ -70% |
| Molina | Medicare|All Plans | $535.96 | ↓ -70% |
| Sound Family Medicine | Commercial|All Plans | $992.52 | ↓ -44% |
| Molina | Commercial|Marketplace Exchange | $1,141.40 | ↓ -35% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,161.25 | ↓ -34% |
| Uniform Medical Plan | Commercial|All Plans | $1,224.81 | ↓ -30% |
| BCBS - Regence | Commercial|All Plans | $1,408.17 | ↓ -20% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $1,739.36 | ↓ -1% |
| Kaiser | Commercial|All Plans | $1,798.53 | ↑ +2% |
| BCBS - Premera | Commercial|All Other Plans | $1,922.00 | ↑ +9% |
| Cigna | Commercial|All Plans | $2,511.81 | ↑ +43% |
| Aetna | Commercial|AWH | $2,711.16 | ↑ +54% |
| Aetna | Commercial|Sound Health | $2,870.64 | ↑ +63% |
| First Choice | Commercial|All Plans | $2,910.51 | ↑ +65% |
| Aetna | Commercial|WEA | $3,189.60 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $3,189.60 | ↑ +81% |
| United | Commercial|Cascade Care | $3,269.34 | ↑ +86% |
| United | Commercial|All Other Plans | $3,269.34 | ↑ +86% |
| Aetna | Commercial|Rental | $3,508.56 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $3,588.30 | ↑ +104% |
Visitor-reported prices
Comments
ER Visit (level 4) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $620.90 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $909.12 | $483.19 – $1,713.22 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,078.70 | $464.97 – $1,183.36 |
| Swedish Medical Center Cherry Hill | Seattle | $909.12 | $483.19 – $1,649.90 |
| Swedish Issaquah | Issaquah | $909.12 | $484.54 – $1,713.22 |
| Central Medical Center | Seattle | $1,888.80 | $809.00 – $809.00 |
| Providence Centralia Hospital | Centralia | $1,394.32 | $483.19 – $2,191.65 |
| Providence Mount Carmel Hospital | Colville | $554.40 | not published |