Ins/rpl ldless pm right vent w img & eval at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$11,413.43
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.
$25,860.37
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.
$16,292.04 with Cigna vs $84,555.59 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $16,292.04 | ↑ +43% |
| Aetna | Commercial|AWH | $17,585.06 | ↑ +54% |
| Aetna | Commercial|Sound Health | $18,619.47 | ↑ +63% |
| First Choice | Commercial|All Plans | $18,878.08 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $20,688.30 | ↑ +81% |
| Aetna | Commercial|WEA | $20,688.30 | ↑ +81% |
| United | Commercial|Cascade Care | $21,205.51 | ↑ +86% |
| United | Commercial|All Other Plans | $21,205.51 | ↑ +86% |
| Kaiser | Medicare|All Plans | $22,225.91 | ↑ +95% |
| CHPW | Medicare|All Plans | $22,225.91 | ↑ +95% |
| Optum | Medicare|All Plans | $22,448.17 | ↑ +97% |
| Aetna | Commercial|Rental | $22,757.13 | ↑ +99% |
| Aetna | Medicare|All Plans | $22,892.69 | ↑ +101% |
| BCBS - Regence | Medicare|All Plans | $22,892.69 | ↑ +101% |
| BCBS - Premera | Medicare|All Plans | $22,892.69 | ↑ +101% |
| Wellcare | Medicare|All Plans | $23,065.39 | ↑ +102% |
| MultiPlan | Commercial|All Plans | $23,274.34 | ↑ +104% |
| Humana | Medicare|All Plans | $23,781.72 | ↑ +108% |
| Molina | Medicare|All Plans | $24,003.98 | ↑ +110% |
| United | Medicare|All Plans | $24,003.98 | ↑ +110% |
| Sound Family Medicine | Commercial|All Plans | $44,451.82 | ↑ +289% |
| Molina | Commercial|Marketplace Exchange | $51,119.59 | ↑ +348% |
| Coordinated Care | Commercial|Ambetter Exchange | $52,008.63 | ↑ +356% |
| Uniform Medical Plan | Commercial|All Plans | $53,884.07 | ↑ +372% |
| BCBS - Regence | Commercial|All Plans | $61,950.72 | ↑ +443% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $76,520.28 | ↑ +570% |
| Kaiser | Commercial|All Plans | $80,958.03 | ↑ +609% |
| BCBS - Premera | Commercial|All Other Plans | $84,555.59 | ↑ +641% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $29,634.24 | $7,277.00 – $77,627.65 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $55,636.00 | $5,419.00 – $54,626.28 |
| Swedish Medical Center Cherry Hill | Seattle | $29,634.24 | $7,277.00 – $74,758.46 |
| Swedish Issaquah | Issaquah | $29,634.24 | $7,277.00 – $77,627.65 |
| Providence St Mary Medical Center | Walla Walla | $21,922.60 | $17,265.78 – $39,708.69 |
| Kadlec Regional Medical Center | Richland | $28,568.40 | $818.11 – $59,137.29 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $23,693.80 | $7,246.00 – $60,412.49 |
| Providence St Peter Hospital | Olympia | $27,297.40 | $3,484.00 – $74,917.86 |