Ins/rplc spi npg/rcvr pocket at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$5,484.72
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.
?
What you pay up front if you don't use insurance.
$12,427.19
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.
?
The hospital's undiscounted list price — almost no one pays this.
$7,829.13 with Cigna vs $138,366.52 with Kaiser — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $7,829.13 | ↑ +43% |
| Aetna | Commercial|AWH | $8,450.49 | ↑ +54% |
| Aetna | Commercial|Sound Health | $8,947.58 | ↑ +63% |
| First Choice | Commercial|All Plans | $9,071.85 | ↑ +65% |
| Aetna | Commercial|WEA | $9,941.76 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $9,941.76 | ↑ +81% |
| United | Commercial|Cascade Care | $10,190.30 | ↑ +86% |
| United | Commercial|All Other Plans | $10,190.30 | ↑ +86% |
| Aetna | Commercial|Rental | $10,935.93 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $11,184.48 | ↑ +104% |
| CHPW | Medicare|All Plans | $35,514.53 | ↑ +548% |
| Kaiser | Medicare|All Plans | $35,514.53 | ↑ +548% |
| Optum | Medicare|All Plans | $35,869.68 | ↑ +554% |
| Aetna | Medicare|All Plans | $36,579.97 | ↑ +567% |
| BCBS - Premera | Medicare|All Plans | $36,579.97 | ↑ +567% |
| BCBS - Regence | Medicare|All Plans | $36,579.97 | ↑ +567% |
| Wellcare | Medicare|All Plans | $36,757.67 | ↑ +570% |
| Humana | Medicare|All Plans | $38,000.55 | ↑ +593% |
| Molina | Medicare|All Plans | $38,355.69 | ↑ +599% |
| United | Medicare|All Plans | $38,355.69 | ↑ +599% |
| Sound Family Medicine | Commercial|All Plans | $71,029.06 | ↑ +1195% |
| Molina | Commercial|Marketplace Exchange | $81,683.42 | ↑ +1389% |
| Coordinated Care | Commercial|Ambetter Exchange | $83,104.00 | ↑ +1415% |
| Uniform Medical Plan | Commercial|All Plans | $85,871.25 | ↑ +1466% |
| BCBS - Regence | Commercial|All Plans | $98,726.49 | ↑ +1700% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $121,944.99 | ↑ +2123% |
| BCBS - Premera | Commercial|All Other Plans | $134,750.30 | ↑ +2357% |
| Kaiser | Commercial|All Plans | $138,366.52 | ↑ +2423% |
Visitor-reported prices
Comments
Ins/rplc spi npg/rcvr pocket at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $16,624.80 | $7,277.00 – $141,808.26 |
| Swedish Medical Center Cherry Hill | Seattle | $16,624.80 | $7,277.00 – $136,566.89 |
| Swedish Issaquah | Issaquah | $16,624.80 | $7,277.00 – $141,808.26 |
| Kadlec Regional Medical Center | Richland | $7,262.50 | $614.44 – $108,030.53 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $57,637.32 | $6,914.00 – $110,360.02 |
| MultiCare Yakima Memorial Hospital | Yakima | $6,917.60 | $36,812.79 – $96,645.87 |
| St. Anne Hospital | Burien | $3,794.72 | $5,343.70 – $83,397.93 |
| St. Anthony Hospital | Gig Harbor | $3,779.72 | $8,947.58 – $79,881.49 |