Esophagoscopy/flex/diagnostic 43200 at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$939.43
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.
$2,128.54
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.
$1,073.03 with Wellcare vs $3,933.67 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 |
|---|---|---|---|
| Wellcare | Medicare|All Plans | $1,073.03 | ↑ +14% |
| Kaiser | Medicare|All Plans | $1,092.65 | ↑ +16% |
| CHPW | Medicare|All Plans | $1,092.65 | ↑ +16% |
| Optum | Medicare|All Plans | $1,103.58 | ↑ +17% |
| BCBS - Regence | Medicare|All Plans | $1,125.43 | ↑ +20% |
| Aetna | Medicare|All Plans | $1,125.43 | ↑ +20% |
| BCBS - Premera | Medicare|All Plans | $1,125.43 | ↑ +20% |
| Humana | Medicare|All Plans | $1,169.14 | ↑ +24% |
| United | Medicare|All Plans | $1,180.06 | ↑ +26% |
| Molina | Medicare|All Plans | $1,180.06 | ↑ +26% |
| Cigna | Commercial|All Plans | $1,340.99 | ↑ +43% |
| Aetna | Commercial|AWH | $1,447.41 | ↑ +54% |
| Aetna | Commercial|Sound Health | $1,532.55 | ↑ +63% |
| First Choice | Commercial|All Plans | $1,553.84 | ↑ +65% |
| Aetna | Commercial|WEA | $1,702.84 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $1,702.84 | ↑ +81% |
| United | Commercial|Cascade Care | $1,745.41 | ↑ +86% |
| United | Commercial|All Other Plans | $1,745.41 | ↑ +86% |
| Aetna | Commercial|Rental | $1,873.12 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $1,915.69 | ↑ +104% |
| Sound Family Medicine | Commercial|All Plans | $2,185.30 | ↑ +133% |
| Uniform Medical Plan | Commercial|All Plans | $2,506.77 | ↑ +167% |
| Molina | Commercial|Marketplace Exchange | $2,513.10 | ↑ +168% |
| Coordinated Care | Commercial|Ambetter Exchange | $2,556.80 | ↑ +172% |
| BCBS - Regence | Commercial|All Plans | $2,882.05 | ↑ +207% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $3,559.86 | ↑ +279% |
| Kaiser | Commercial|All Plans | $3,890.63 | ↑ +314% |
| BCBS - Premera | Commercial|All Other Plans | $3,933.67 | ↑ +319% |
Visitor-reported prices
Comments
Esophagoscopy/flex/diagnostic 43200 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $1,001.00 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $1,828.80 | $1,050.28 – $3,693.82 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,133.30 | $1,010.69 – $2,572.22 |
| Swedish Medical Center Cherry Hill | Seattle | $1,828.80 | $1,050.28 – $3,575.94 |
| Swedish Issaquah | Issaquah | $1,828.80 | $1,053.23 – $3,693.82 |
| Providence Centralia Hospital | Centralia | $1,631.24 | $1,050.28 – $4,597.63 |
| Providence Mount Carmel Hospital | Colville | $903.00 | not published |
| Providence St Mary Medical Center | Walla Walla | $2,224.60 | $803.23 – $3,568.08 |