Ins lv lead exist pm/icd at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$3,002.65
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.
$6,803.34
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.
$4,286.11 with Cigna vs $48,679.49 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $4,286.11 | ↑ +43% |
| Aetna | Commercial|AWH | $4,626.28 | ↑ +54% |
| Aetna | Commercial|Sound Health | $4,898.41 | ↑ +63% |
| First Choice | Commercial|All Plans | $4,966.44 | ↑ +65% |
| Aetna | Commercial|WEA | $5,442.68 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $5,442.68 | ↑ +81% |
| United | Commercial|Cascade Care | $5,578.74 | ↑ +86% |
| United | Commercial|All Other Plans | $5,578.74 | ↑ +86% |
| Aetna | Commercial|Rental | $5,986.94 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $6,123.01 | ↑ +104% |
| Kaiser | Medicare|All Plans | $12,196.50 | ↑ +306% |
| CHPW | Medicare|All Plans | $12,196.50 | ↑ +306% |
| Optum | Medicare|All Plans | $12,318.47 | ↑ +310% |
| BCBS - Premera | Medicare|All Plans | $12,562.40 | ↑ +318% |
| BCBS - Regence | Medicare|All Plans | $12,562.40 | ↑ +318% |
| Aetna | Medicare|All Plans | $12,562.40 | ↑ +318% |
| Wellcare | Medicare|All Plans | $12,640.27 | ↑ +321% |
| Humana | Medicare|All Plans | $13,050.25 | ↑ +335% |
| United | Medicare|All Plans | $13,172.22 | ↑ +339% |
| Molina | Medicare|All Plans | $13,172.22 | ↑ +339% |
| Sound Family Medicine | Commercial|All Plans | $24,393.00 | ↑ +712% |
| Molina | Commercial|Marketplace Exchange | $28,051.95 | ↑ +834% |
| Coordinated Care | Commercial|Ambetter Exchange | $28,539.81 | ↑ +850% |
| Uniform Medical Plan | Commercial|All Plans | $29,529.48 | ↑ +883% |
| BCBS - Regence | Commercial|All Plans | $33,950.15 | ↑ +1031% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $41,934.55 | ↑ +1297% |
| BCBS - Premera | Commercial|All Other Plans | $46,338.05 | ↑ +1443% |
| Kaiser | Commercial|All Plans | $48,679.49 | ↑ +1521% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $14,389.92 | $7,277.00 – $49,926.95 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $7,786.10 | $5,419.00 – $31,781.01 |
| Swedish Medical Center Cherry Hill | Seattle | $14,389.92 | $7,277.00 – $48,081.60 |
| Swedish Issaquah | Issaquah | $14,389.92 | $7,277.00 – $49,926.95 |
| Kadlec Regional Medical Center | Richland | $25,825.10 | $870.32 – $38,034.70 |
| Providence Holy Family Hospital | Spokane | $8,383.20 | $2,985.00 – $30,573.70 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $10,216.44 | $7,246.00 – $38,854.85 |
| Providence St Peter Hospital | Olympia | $14,355.64 | $3,484.00 – $48,184.12 |