Lev 1 hosp type b ed visit at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$254.68
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.
$577.04
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.
$88.80 with Wellcare vs $519.34 with MultiPlan — 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 |
|---|---|---|---|
| Wellcare | Medicare|All Plans | $88.80 | ↓ -65% |
| CHPW | Medicare|All Plans | $97.98 | ↓ -62% |
| Kaiser | Medicare|All Plans | $97.98 | ↓ -62% |
| Optum | Medicare|All Plans | $98.96 | ↓ -61% |
| Aetna | Medicare|All Plans | $100.92 | ↓ -60% |
| BCBS - Premera | Medicare|All Plans | $100.92 | ↓ -60% |
| BCBS - Regence | Medicare|All Plans | $100.92 | ↓ -60% |
| Humana | Medicare|All Plans | $104.84 | ↓ -59% |
| United | Medicare|All Plans | $105.82 | ↓ -58% |
| Molina | Medicare|All Plans | $105.82 | ↓ -58% |
| Sound Family Medicine | Commercial|All Plans | $195.96 | ↓ -23% |
| Uniform Medical Plan | Commercial|All Plans | $207.43 | ↓ -19% |
| Molina | Commercial|Marketplace Exchange | $225.35 | ↓ -12% |
| Coordinated Care | Commercial|Ambetter Exchange | $229.27 | ↓ -10% |
| BCBS - Regence | Commercial|All Plans | $238.49 | ↓ -6% |
| Kaiser | Commercial|All Plans | $288.29 | ↑ +13% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $294.57 | ↑ +16% |
| BCBS - Premera | Commercial|All Other Plans | $325.51 | ↑ +28% |
| Cigna | Commercial|All Plans | $363.54 | ↑ +43% |
| Aetna | Commercial|AWH | $392.39 | ↑ +54% |
| Aetna | Commercial|Sound Health | $415.47 | ↑ +63% |
| First Choice | Commercial|All Plans | $421.24 | ↑ +65% |
| Aetna | Commercial|WEA | $461.64 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $461.64 | ↑ +81% |
| United | Commercial|Cascade Care | $473.18 | ↑ +86% |
| United | Commercial|All Other Plans | $473.18 | ↑ +86% |
| Aetna | Commercial|Rental | $507.80 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $519.34 | ↑ +104% |
Visitor-reported prices
Comments
Lev 1 hosp type b ed visit at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $101.50 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $139.30 | $82.83 – $218.00 |
| Providence St Mary Medical Center | Walla Walla | $283.50 | $66.47 – $153.23 |
| Kadlec Regional Medical Center | Richland | $267.40 | $82.83 – $258.29 |
| Providence Holy Family Hospital | Spokane | $151.20 | $82.83 – $217.43 |
| St. Anne Hospital | Burien | $176.21 | $227.83 – $519.34 |
| St. Anthony Hospital | Gig Harbor | $175.51 | $166.44 – $432.78 |
| St. Joseph Medical Center | Tacoma | $191.12 | $166.44 – $432.78 |