Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$1,003.28
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.
$2,273.20
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.
$819.98 with CHPW vs $3,058.60 with Kaiser — 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 | $819.98 | ↓ -18% |
| Kaiser | Medicare|All Plans | $819.98 | ↓ -18% |
| Optum | Medicare|All Plans | $828.18 | ↓ -17% |
| Wellcare | Medicare|All Plans | $832.85 | ↓ -17% |
| BCBS - Premera | Medicare|All Plans | $844.58 | ↓ -16% |
| Aetna | Medicare|All Plans | $844.58 | ↓ -16% |
| BCBS - Regence | Medicare|All Plans | $844.58 | ↓ -16% |
| Humana | Medicare|All Plans | $877.38 | ↓ -13% |
| United | Medicare|All Plans | $885.58 | ↓ -12% |
| Molina | Medicare|All Plans | $885.58 | ↓ -12% |
| Cigna | Commercial|All Plans | $1,432.12 | ↑ +43% |
| Aetna | Commercial|AWH | $1,545.78 | ↑ +54% |
| Aetna | Commercial|Sound Health | $1,636.71 | ↑ +63% |
| Sound Family Medicine | Commercial|All Plans | $1,639.96 | ↑ +63% |
| First Choice | Commercial|All Plans | $1,659.44 | ↑ +65% |
| Aetna | Commercial|WEA | $1,818.56 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $1,818.56 | ↑ +81% |
| United | Commercial|Cascade Care | $1,864.03 | ↑ +86% |
| United | Commercial|All Other Plans | $1,864.03 | ↑ +86% |
| Molina | Commercial|Marketplace Exchange | $1,885.95 | ↑ +88% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,918.75 | ↑ +91% |
| Uniform Medical Plan | Commercial|All Plans | $1,945.65 | ↑ +94% |
| Aetna | Commercial|Rental | $2,000.42 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $2,045.88 | ↑ +104% |
| BCBS - Regence | Commercial|All Plans | $2,236.92 | ↑ +123% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $2,763.00 | ↑ +175% |
| BCBS - Premera | Commercial|All Other Plans | $3,053.14 | ↑ +204% |
| Kaiser | Commercial|All Plans | $3,058.60 | ↑ +205% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $2,345.76 | $820.01 – $2,867.05 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,939.00 | $789.10 – $2,008.27 |
| Swedish Medical Center Cherry Hill | Seattle | $2,345.76 | $820.01 – $2,775.55 |
| Swedish Issaquah | Issaquah | $2,345.76 | $822.31 – $2,867.05 |
| Central Medical Center | Seattle | $1,680.00 | not published |
| Providence Mount Carmel Hospital | Colville | $987.00 | not published |
| Providence St Mary Medical Center | Walla Walla | $1,504.30 | $623.43 – $2,769.45 |
| Kadlec Regional Medical Center | Richland | $1,854.30 | $153.18 – $2,263.14 |