_fragile x methylation-sendout at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$240.54
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.
$545.00
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.
$44.89 with CHPW vs $420.02 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 |
|---|---|---|---|
| CHPW | Medicare|All Plans | $44.89 | ↓ -81% |
| Kaiser | Medicare|All Plans | $44.89 | ↓ -81% |
| BCBS - Regence | Medicare|All Plans | $44.89 | ↓ -81% |
| Optum | Medicare|All Plans | $45.34 | ↓ -81% |
| BCBS - Premera | Medicare|All Plans | $46.24 | ↓ -81% |
| Aetna | Medicare|All Plans | $46.24 | ↓ -81% |
| BCBS - Regence | Commercial|All Plans | $47.13 | ↓ -80% |
| Humana | Medicare|All Plans | $48.03 | ↓ -80% |
| Molina | Medicare|All Plans | $48.48 | ↓ -80% |
| Wellcare | Medicare|All Plans | $48.48 | ↓ -80% |
| United | Medicare|All Plans | $48.48 | ↓ -80% |
| Uniform Medical Plan | Commercial|All Plans | $67.34 | ↓ -72% |
| BCBS - Premera | Commercial|All Other Plans | $78.56 | ↓ -67% |
| Sound Family Medicine | Commercial|All Plans | $89.78 | ↓ -63% |
| Molina | Commercial|Marketplace Exchange | $103.25 | ↓ -57% |
| Coordinated Care | Commercial|Ambetter Exchange | $105.04 | ↓ -56% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $114.02 | ↓ -53% |
| Cigna | Commercial|All Plans | $116.72 | ↓ -51% |
| Kaiser | Commercial|All Plans | $211.57 | ↓ -12% |
| Aetna | Commercial|AWH | $317.35 | ↑ +32% |
| Aetna | Commercial|Sound Health | $336.01 | ↑ +40% |
| First Choice | Commercial|All Plans | $340.68 | ↑ +42% |
| Aetna | Commercial|WEA | $373.35 | ↑ +55% |
| Aetna | Commercial|All Other Plans | $373.35 | ↑ +55% |
| United | Commercial|All Other Plans | $382.68 | ↑ +59% |
| United | Commercial|Cascade Care | $382.68 | ↑ +59% |
| Aetna | Commercial|Rental | $410.68 | ↑ +71% |
| MultiPlan | Commercial|All Plans | $420.02 | ↑ +75% |
Visitor-reported prices
Comments
_fragile x methylation-sendout at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $124.32 | $40.40 – $136.38 |
| Swedish Medical Center Cherry Hill | Seattle | $124.32 | $40.40 – $134.67 |
| Swedish Issaquah | Issaquah | $124.32 | $40.40 – $99.66 |
| St. Anne Hospital | Burien | $166.42 | $44.89 – $420.02 |
| St. Anthony Hospital | Gig Harbor | $165.77 | $44.89 – $350.01 |
| MultiCare Auburn Medical Center | Auburn | $31.60 | $30.06 – $87.98 |
| MultiCare Good Samaritan Hospital | Puyallup | $31.60 | $30.75 – $87.98 |
| St. Joseph Medical Center | Tacoma | $180.51 | $44.89 – $350.01 |