Hemodialysis one evaluation at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$1,789.53
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.
$4,054.69
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.
$815.47 with Kaiser vs $3,032.41 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $815.47 | ↓ -54% |
| CHPW | Medicare|All Plans | $815.47 | ↓ -54% |
| Optum | Medicare|All Plans | $823.62 | ↓ -54% |
| Wellcare | Medicare|All Plans | $827.19 | ↓ -54% |
| BCBS - Regence | Medicare|All Plans | $839.93 | ↓ -53% |
| Aetna | Medicare|All Plans | $839.93 | ↓ -53% |
| BCBS - Premera | Medicare|All Plans | $839.93 | ↓ -53% |
| Humana | Medicare|All Plans | $872.55 | ↓ -51% |
| United | Medicare|All Plans | $880.71 | ↓ -51% |
| Molina | Medicare|All Plans | $880.71 | ↓ -51% |
| Cigna | Commercial|All Plans | $1,047.33 | ↓ -41% |
| Aetna | Commercial|AWH | $1,130.45 | ↓ -37% |
| Aetna | Commercial|Sound Health | $1,196.95 | ↓ -33% |
| First Choice | Commercial|All Plans | $1,213.57 | ↓ -32% |
| Aetna | Commercial|WEA | $1,329.94 | ↓ -26% |
| Aetna | Commercial|All Other Plans | $1,329.94 | ↓ -26% |
| United | Commercial|Cascade Care | $1,363.19 | ↓ -24% |
| United | Commercial|All Other Plans | $1,363.19 | ↓ -24% |
| Aetna | Commercial|Rental | $1,462.93 | ↓ -18% |
| MultiPlan | Commercial|All Plans | $1,496.18 | ↓ -16% |
| Sound Family Medicine | Commercial|All Plans | $1,630.94 | ↓ -9% |
| Molina | Commercial|Marketplace Exchange | $1,875.58 | ↑ +5% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,908.20 | ↑ +7% |
| Uniform Medical Plan | Commercial|All Plans | $1,932.45 | ↑ +8% |
| BCBS - Regence | Commercial|All Plans | $2,221.74 | ↑ +24% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $2,744.24 | ↑ +53% |
| Kaiser | Commercial|All Plans | $2,971.64 | ↑ +66% |
| BCBS - Premera | Commercial|All Other Plans | $3,032.41 | ↑ +69% |
Visitor-reported prices
Comments
Hemodialysis one evaluation at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $1,685.88 | $764.79 – $841.27 |
| Swedish Medical Center - First Hill Campus | Seattle | $2,664.00 | $794.75 – $3,008.14 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,264.80 | $149.70 – $2,304.11 |
| Swedish Medical Center Cherry Hill | Seattle | $2,664.00 | $794.75 – $2,912.14 |
| Swedish Issaquah | Issaquah | $2,664.00 | $296.74 – $3,008.14 |
| Providence St Mary Medical Center | Walla Walla | $1,369.90 | $206.29 – $1,414.86 |
| Kadlec Regional Medical Center | Richland | $2,676.10 | $121.05 – $2,502.52 |
| Providence Holy Family Hospital | Spokane | $3,635.80 | $130.53 – $2,007.58 |