Exp w remove/deep fb/forearm/wrist 25248 at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$2,100.90
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.
$4,760.18
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.
$1,865.15 with CHPW vs $6,974.40 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 |
|---|---|---|---|
| CHPW | Medicare|All Plans | $1,865.15 | ↓ -11% |
| Kaiser | Medicare|All Plans | $1,865.15 | ↓ -11% |
| Optum | Medicare|All Plans | $1,883.80 | ↓ -10% |
| Wellcare | Medicare|All Plans | $1,902.51 | ↓ -9% |
| BCBS - Premera | Medicare|All Plans | $1,921.10 | ↓ -9% |
| Aetna | Medicare|All Plans | $1,921.10 | ↓ -9% |
| BCBS - Regence | Medicare|All Plans | $1,921.10 | ↓ -9% |
| Humana | Medicare|All Plans | $1,995.71 | ↓ -5% |
| United | Medicare|All Plans | $2,014.36 | ↓ -4% |
| Molina | Medicare|All Plans | $2,014.36 | ↓ -4% |
| Cigna | Commercial|All Plans | $2,998.92 | ↑ +43% |
| Aetna | Commercial|AWH | $3,236.93 | ↑ +54% |
| Aetna | Commercial|Sound Health | $3,427.33 | ↑ +63% |
| First Choice | Commercial|All Plans | $3,474.94 | ↑ +65% |
| Sound Family Medicine | Commercial|All Plans | $3,730.30 | ↑ +78% |
| Aetna | Commercial|WEA | $3,808.15 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $3,808.15 | ↑ +81% |
| United | Commercial|Cascade Care | $3,903.35 | ↑ +86% |
| United | Commercial|All Other Plans | $3,903.35 | ↑ +86% |
| Aetna | Commercial|Rental | $4,188.96 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $4,284.17 | ↑ +104% |
| Molina | Commercial|Marketplace Exchange | $4,289.85 | ↑ +104% |
| Coordinated Care | Commercial|Ambetter Exchange | $4,364.45 | ↑ +108% |
| Uniform Medical Plan | Commercial|All Plans | $4,444.53 | ↑ +112% |
| BCBS - Regence | Commercial|All Plans | $5,109.90 | ↑ +143% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $6,311.62 | ↑ +200% |
| Kaiser | Commercial|All Plans | $6,760.89 | ↑ +222% |
| BCBS - Premera | Commercial|All Other Plans | $6,974.40 | ↑ +232% |
Visitor-reported prices
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Exp w remove/deep fb/forearm/wrist 25248 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $2,146.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $8,669.76 | $1,862.04 – $6,600.75 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,395.70 | $1,791.86 – $4,560.28 |
| Swedish Medical Center Cherry Hill | Seattle | $8,669.76 | $1,862.04 – $6,356.78 |
| Swedish Issaquah | Issaquah | $8,669.76 | $1,867.26 – $6,600.75 |
| Central Medical Center | Seattle | $3,508.80 | not published |
| Providence Centralia Hospital | Centralia | $3,313.96 | $1,862.04 – $7,929.03 |
| Providence Mount Carmel Hospital | Colville | $2,510.20 | not published |