Factor ix recombinant nos at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$3.84
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.
$8.70
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.
$1.84 with BCBS - Regence vs $7.83 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 |
|---|---|---|---|
| BCBS - Regence | Commercial|All Plans | $1.84 | ↓ -52% |
| Uniform Medical Plan | Commercial|All Plans | $1.84 | ↓ -52% |
| CHPW | Medicare|All Plans | $1.87 | ↓ -51% |
| Kaiser | Medicare|All Plans | $1.87 | ↓ -51% |
| Optum | Medicare|All Plans | $1.89 | ↓ -51% |
| Aetna | Medicare|All Plans | $1.93 | ↓ -50% |
| BCBS - Regence | Medicare|All Plans | $1.93 | ↓ -50% |
| BCBS - Premera | Medicare|All Plans | $1.94 | ↓ -49% |
| Wellcare | Medicare|All Plans | $2.00 | ↓ -48% |
| Humana | Medicare|All Plans | $2.00 | ↓ -48% |
| United | Medicare|All Plans | $2.00 | ↓ -48% |
| Molina | Medicare|All Plans | $2.02 | ↓ -47% |
| Aetna | Commercial|WEA | $3.02 | ↓ -21% |
| Aetna | Commercial|Sound Health | $3.49 | ↓ -9% |
| Aetna | Commercial|All Other Plans | $3.68 | ↓ -4% |
| Aetna | Commercial|AWH | $3.68 | ↓ -4% |
| Sound Family Medicine | Commercial|All Plans | $3.74 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $4.23 | ↑ +10% |
| Coordinated Care | Commercial|Ambetter Exchange | $4.38 | ↑ +14% |
| Cigna | Commercial|All Plans | $5.49 | ↑ +43% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $5.66 | ↑ +47% |
| BCBS - Premera | Commercial|All Other Plans | $6.13 | ↑ +60% |
| First Choice | Commercial|All Plans | $6.36 | ↑ +66% |
| United | Commercial|All Other Plans | $7.14 | ↑ +86% |
| United | Commercial|Cascade Care | $7.14 | ↑ +86% |
| Kaiser | Commercial|All Plans | $7.28 | ↑ +90% |
| Aetna | Commercial|Rental | $7.66 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $7.83 | ↑ +104% |
Visitor-reported prices
Comments
Factor ix recombinant nos at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Anne Hospital | Burien | $2.66 | $1.87 – $7.83 |
| St. Anthony Hospital | Gig Harbor | $2.65 | $1.87 – $6.53 |
| St. Joseph Medical Center | Tacoma | $2.89 | $1.87 – $6.53 |
| St. Elizabeth Hospital | Enumclaw | $3.08 | $1.48 – $7.83 |
| Virginia Mason Medical Center | Seattle | $4.69 | $1.30 – $5.75 |
| MultiCare Mary Bridge Children's Hospital | Tacoma | $1.76 | $1.84 – $14,872.81 |
| St. Francis Hospital | Federal Way | $2.74 | $1.87 – $6.53 |
| MultiCare Allenmore Hospital | Tacoma | $1.46 | $1.80 – $4,547.34 |