Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$19,427.80
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.
$44,019.23
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.
$25,236.23 with Cigna vs $151,175.74 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 | $25,236.23 | ↑ +30% |
| Aetna | Commercial|AWH | $27,239.10 | ↑ +40% |
| Aetna | Commercial|Sound Health | $28,841.40 | ↑ +48% |
| First Choice | Commercial|All Plans | $29,241.98 | ↑ +51% |
| Aetna | Commercial|WEA | $32,046.00 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $32,046.00 | ↑ +65% |
| United | Commercial|Cascade Care | $32,847.15 | ↑ +69% |
| United | Commercial|All Other Plans | $32,847.15 | ↑ +69% |
| Aetna | Commercial|Rental | $35,250.60 | ↑ +81% |
| MultiPlan | Commercial|All Plans | $36,051.75 | ↑ +86% |
| Kaiser | Medicare|All Plans | $37,365.21 | ↑ +92% |
| CHPW | Medicare|All Plans | $37,365.21 | ↑ +92% |
| Optum | Medicare|All Plans | $37,738.86 | ↑ +94% |
| BCBS - Premera | Medicare|All Plans | $38,486.17 | ↑ +98% |
| BCBS - Regence | Medicare|All Plans | $38,486.17 | ↑ +98% |
| Aetna | Medicare|All Plans | $38,486.17 | ↑ +98% |
| Wellcare | Medicare|All Plans | $38,943.89 | ↑ +100% |
| Humana | Medicare|All Plans | $39,980.77 | ↑ +106% |
| United | Medicare|All Plans | $40,354.43 | ↑ +108% |
| Molina | Medicare|All Plans | $40,354.43 | ↑ +108% |
| Sound Family Medicine | Commercial|All Plans | $74,730.42 | ↑ +285% |
| Molina | Commercial|Marketplace Exchange | $85,939.98 | ↑ +342% |
| Coordinated Care | Commercial|Ambetter Exchange | $87,434.59 | ↑ +350% |
| Uniform Medical Plan | Commercial|All Plans | $90,978.57 | ↑ +368% |
| BCBS - Regence | Commercial|All Plans | $104,598.40 | ↑ +438% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $129,197.86 | ↑ +565% |
| BCBS - Premera | Commercial|All Other Plans | $142,764.78 | ↑ +635% |
| Kaiser | Commercial|All Plans | $151,175.74 | ↑ +678% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $26,365.44 | $7,277.00 – $157,216.46 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $40,597.20 | $5,419.00 – $100,076.18 |
| Swedish Medical Center Cherry Hill | Seattle | $26,365.44 | $7,277.00 – $151,405.58 |
| Swedish Issaquah | Issaquah | $26,365.44 | $7,277.00 – $157,216.46 |
| Central Medical Center | Seattle | $24,660.80 | not published |
| Providence St Mary Medical Center | Walla Walla | $23,301.60 | $24,827.00 – $64,709.31 |
| Kadlec Regional Medical Center | Richland | $48,907.60 | $1,557.06 – $119,768.59 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $34,932.56 | $7,246.00 – $122,351.21 |