Hymenotomy at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$4,358.89
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.
$9,876.29
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.
$3,700.79 with Wellcare vs $13,566.78 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 |
|---|---|---|---|
| Wellcare | Medicare|All Plans | $3,700.79 | ↓ -15% |
| CHPW | Medicare|All Plans | $3,705.49 | ↓ -15% |
| Kaiser | Medicare|All Plans | $3,705.49 | ↓ -15% |
| Optum | Medicare|All Plans | $3,742.54 | ↓ -14% |
| BCBS - Premera | Medicare|All Plans | $3,816.65 | ↓ -12% |
| Aetna | Medicare|All Plans | $3,816.65 | ↓ -12% |
| BCBS - Regence | Medicare|All Plans | $3,816.65 | ↓ -12% |
| Humana | Medicare|All Plans | $3,964.87 | ↓ -9% |
| United | Medicare|All Plans | $4,001.93 | ↓ -8% |
| Molina | Medicare|All Plans | $4,001.93 | ↓ -8% |
| Cigna | Commercial|All Plans | $6,222.07 | ↑ +43% |
| Aetna | Commercial|AWH | $6,715.88 | ↑ +54% |
| Aetna | Commercial|Sound Health | $7,110.93 | ↑ +63% |
| First Choice | Commercial|All Plans | $7,209.70 | ↑ +65% |
| Sound Family Medicine | Commercial|All Plans | $7,410.98 | ↑ +70% |
| Aetna | Commercial|WEA | $7,901.04 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $7,901.04 | ↑ +81% |
| United | Commercial|Cascade Care | $8,098.56 | ↑ +86% |
| United | Commercial|All Other Plans | $8,098.56 | ↑ +86% |
| Molina | Commercial|Marketplace Exchange | $8,522.63 | ↑ +96% |
| Uniform Medical Plan | Commercial|All Plans | $8,645.58 | ↑ +98% |
| Coordinated Care | Commercial|Ambetter Exchange | $8,670.85 | ↑ +99% |
| Aetna | Commercial|Rental | $8,691.14 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $8,888.67 | ↑ +104% |
| BCBS - Regence | Commercial|All Plans | $9,939.86 | ↑ +128% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $12,277.53 | ↑ +182% |
| Kaiser | Commercial|All Plans | $13,325.72 | ↑ +206% |
| BCBS - Premera | Commercial|All Other Plans | $13,566.78 | ↑ +211% |
Visitor-reported prices
Comments
Hymenotomy at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $5,443.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $6,996.00 | $3,748.56 – $12,165.75 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $6,161.40 | $3,607.27 – $9,180.51 |
| Swedish Medical Center Cherry Hill | Seattle | $6,996.00 | $3,748.56 – $11,716.09 |
| Swedish Issaquah | Issaquah | $6,996.00 | $3,759.08 – $12,165.75 |
| Providence Centralia Hospital | Centralia | $5,907.20 | $3,748.56 – $14,613.89 |
| Providence Mount Carmel Hospital | Colville | $6,543.60 | not published |
| Providence St Mary Medical Center | Walla Walla | $5,518.10 | $2,770.26 – $6,673.45 |