Insitu hybridization (fish) at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$451.88
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.
$1,023.85
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.
$199.71 with Kaiser vs $1,527.53 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $199.71 | ↓ -56% |
| CHPW | Medicare|All Plans | $199.71 | ↓ -56% |
| Optum | Medicare|All Plans | $201.71 | ↓ -55% |
| Wellcare | Medicare|All Plans | $202.19 | ↓ -55% |
| BCBS - Regence | Medicare|All Plans | $205.70 | ↓ -54% |
| Aetna | Medicare|All Plans | $205.70 | ↓ -54% |
| BCBS - Premera | Medicare|All Plans | $205.70 | ↓ -54% |
| Humana | Medicare|All Plans | $213.69 | ↓ -53% |
| Molina | Medicare|All Plans | $215.69 | ↓ -52% |
| United | Medicare|All Plans | $215.69 | ↓ -52% |
| Sound Family Medicine | Commercial|All Plans | $399.42 | ↓ -12% |
| Molina | Commercial|Marketplace Exchange | $459.33 | ↑ +2% |
| Coordinated Care | Commercial|Ambetter Exchange | $467.32 | ↑ +3% |
| Uniform Medical Plan | Commercial|All Plans | $472.34 | ↑ +5% |
| Cigna | Commercial|All Plans | $526.96 | ↑ +17% |
| BCBS - Regence | Commercial|All Plans | $543.05 | ↑ +20% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $670.76 | ↑ +48% |
| Aetna | Commercial|AWH | $696.22 | ↑ +54% |
| Aetna | Commercial|Sound Health | $737.18 | ↑ +63% |
| BCBS - Premera | Commercial|All Other Plans | $741.20 | ↑ +64% |
| First Choice | Commercial|All Plans | $747.42 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $819.08 | ↑ +81% |
| Aetna | Commercial|WEA | $819.08 | ↑ +81% |
| United | Commercial|Cascade Care | $839.56 | ↑ +86% |
| United | Commercial|All Other Plans | $839.56 | ↑ +86% |
| Aetna | Commercial|Rental | $900.99 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $921.47 | ↑ +104% |
| Kaiser | Commercial|All Plans | $1,527.53 | ↑ +238% |
Visitor-reported prices
Comments
Insitu hybridization (fish) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $1,343.20 | $1,039.00 – $1,039.00 |
| Swedish Edmonds Hospital | Edmonds | $680.16 | $194.02 – $1,275.35 |
| Providence St Mary Medical Center | Walla Walla | $304.50 | $151.35 – $351.22 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $297.44 | $194.02 – $1,190.32 |
| MultiCare Valley Hospital | Spokane Valley | $458.80 | $27.41 – $1,442.29 |
| St. Anne Hospital | Burien | $312.64 | $297.73 – $921.47 |
| St. Anthony Hospital | Gig Harbor | $311.41 | $297.73 – $881.87 |
| St. Joseph Medical Center | Tacoma | $339.10 | $297.73 – $881.87 |