Lev 4 hosp type b ed visit at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$1,319.68
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.
$2,990.10
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.
$332.79 with Kaiser vs $2,691.09 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $332.79 | ↓ -75% |
| CHPW | Medicare|All Plans | $332.79 | ↓ -75% |
| Optum | Medicare|All Plans | $336.12 | ↓ -75% |
| BCBS - Regence | Medicare|All Plans | $342.77 | ↓ -74% |
| Aetna | Medicare|All Plans | $342.77 | ↓ -74% |
| BCBS - Premera | Medicare|All Plans | $342.77 | ↓ -74% |
| Wellcare | Medicare|All Plans | $348.69 | ↓ -74% |
| Humana | Medicare|All Plans | $356.09 | ↓ -73% |
| United | Medicare|All Plans | $359.41 | ↓ -73% |
| Molina | Medicare|All Plans | $359.41 | ↓ -73% |
| Sound Family Medicine | Commercial|All Plans | $665.58 | ↓ -50% |
| Molina | Commercial|Marketplace Exchange | $765.42 | ↓ -42% |
| Coordinated Care | Commercial|Ambetter Exchange | $778.73 | ↓ -41% |
| Uniform Medical Plan | Commercial|All Plans | $814.59 | ↓ -38% |
| BCBS - Regence | Commercial|All Plans | $936.53 | ↓ -29% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $1,156.80 | ↓ -12% |
| BCBS - Premera | Commercial|All Other Plans | $1,278.27 | ↓ -3% |
| Kaiser | Commercial|All Plans | $1,318.32 | ↓ -0% |
| Cigna | Commercial|All Plans | $1,883.77 | ↑ +43% |
| Aetna | Commercial|AWH | $2,033.27 | ↑ +54% |
| Aetna | Commercial|Sound Health | $2,152.88 | ↑ +63% |
| First Choice | Commercial|All Plans | $2,182.78 | ↑ +65% |
| Aetna | Commercial|WEA | $2,392.08 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $2,392.08 | ↑ +81% |
| United | Commercial|Cascade Care | $2,451.89 | ↑ +86% |
| United | Commercial|All Other Plans | $2,451.89 | ↑ +86% |
| Aetna | Commercial|Rental | $2,631.29 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $2,691.09 | ↑ +104% |
Visitor-reported prices
Comments
Lev 4 hosp type b ed visit at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $465.50 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $638.40 | $294.53 – $749.57 |
| Providence St Mary Medical Center | Walla Walla | $775.60 | $261.01 – $544.88 |
| Kadlec Regional Medical Center | Richland | $731.50 | $294.53 – $793.50 |
| Providence Holy Family Hospital | Spokane | $694.40 | $294.53 – $773.13 |
| St. Anne Hospital | Burien | $913.05 | $789.76 – $2,691.09 |
| St. Anthony Hospital | Gig Harbor | $909.44 | $761.09 – $2,242.58 |
| St. Joseph Medical Center | Tacoma | $990.32 | $761.09 – $2,242.58 |