Lev 5 hosp type b ed visit at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$2,309.97
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.
$5,233.89
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.
$451.20 with Wellcare vs $4,710.51 with MultiPlan — 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 |
|---|---|---|---|
| Wellcare | Medicare|All Plans | $451.20 | ↓ -80% |
| Kaiser | Medicare|All Plans | $470.70 | ↓ -80% |
| CHPW | Medicare|All Plans | $470.70 | ↓ -80% |
| Optum | Medicare|All Plans | $475.41 | ↓ -79% |
| BCBS - Regence | Medicare|All Plans | $484.82 | ↓ -79% |
| Aetna | Medicare|All Plans | $484.82 | ↓ -79% |
| BCBS - Premera | Medicare|All Plans | $484.82 | ↓ -79% |
| Humana | Medicare|All Plans | $503.65 | ↓ -78% |
| Molina | Medicare|All Plans | $508.36 | ↓ -78% |
| United | Medicare|All Plans | $508.36 | ↓ -78% |
| Sound Family Medicine | Commercial|All Plans | $941.40 | ↓ -59% |
| Uniform Medical Plan | Commercial|All Plans | $1,054.06 | ↓ -54% |
| Molina | Commercial|Marketplace Exchange | $1,082.61 | ↓ -53% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,101.44 | ↓ -52% |
| BCBS - Regence | Commercial|All Plans | $1,211.86 | ↓ -48% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $1,496.86 | ↓ -35% |
| Kaiser | Commercial|All Plans | $1,626.64 | ↓ -30% |
| BCBS - Premera | Commercial|All Other Plans | $1,654.04 | ↓ -28% |
| Cigna | Commercial|All Plans | $3,297.36 | ↑ +43% |
| Aetna | Commercial|AWH | $3,559.05 | ↑ +54% |
| Aetna | Commercial|Sound Health | $3,768.41 | ↑ +63% |
| First Choice | Commercial|All Plans | $3,820.74 | ↑ +65% |
| Aetna | Commercial|WEA | $4,187.12 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $4,187.12 | ↑ +81% |
| United | Commercial|All Other Plans | $4,291.79 | ↑ +86% |
| United | Commercial|Cascade Care | $4,291.79 | ↑ +86% |
| Aetna | Commercial|Rental | $4,605.83 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $4,710.51 | ↑ +104% |
Visitor-reported prices
Comments
Lev 5 hosp type b ed visit at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $574.00 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $787.50 | $457.69 – $1,164.82 |
| Providence St Mary Medical Center | Walla Walla | $2,196.60 | $337.75 – $846.72 |
| Kadlec Regional Medical Center | Richland | $2,072.00 | $457.69 – $1,208.11 |
| Providence Holy Family Hospital | Spokane | $856.80 | $457.69 – $1,201.43 |
| St. Anne Hospital | Burien | $1,598.20 | $1,524.22 – $4,710.51 |
| St. Anthony Hospital | Gig Harbor | $1,591.89 | $939.09 – $3,925.42 |
| St. Joseph Medical Center | Tacoma | $1,733.46 | $939.09 – $3,925.42 |