Lig/band angioaccess av fistula at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$3,180.27
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.
$7,205.80
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.
$3,668.16 with CHPW vs $14,039.89 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 |
|---|---|---|---|
| CHPW | Medicare|All Plans | $3,668.16 | ↑ +15% |
| Kaiser | Medicare|All Plans | $3,668.16 | ↑ +15% |
| Optum | Medicare|All Plans | $3,704.84 | ↑ +16% |
| Wellcare | Medicare|All Plans | $3,773.14 | ↑ +19% |
| Aetna | Medicare|All Plans | $3,778.20 | ↑ +19% |
| BCBS - Premera | Medicare|All Plans | $3,778.20 | ↑ +19% |
| BCBS - Regence | Medicare|All Plans | $3,778.20 | ↑ +19% |
| Humana | Medicare|All Plans | $3,924.93 | ↑ +23% |
| United | Medicare|All Plans | $3,961.61 | ↑ +25% |
| Molina | Medicare|All Plans | $3,961.61 | ↑ +25% |
| Cigna | Commercial|All Plans | $4,539.66 | ↑ +43% |
| Aetna | Commercial|AWH | $4,899.95 | ↑ +54% |
| Aetna | Commercial|Sound Health | $5,188.18 | ↑ +63% |
| First Choice | Commercial|All Plans | $5,260.24 | ↑ +65% |
| Aetna | Commercial|WEA | $5,764.64 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $5,764.64 | ↑ +81% |
| United | Commercial|Cascade Care | $5,908.76 | ↑ +86% |
| United | Commercial|All Other Plans | $5,908.76 | ↑ +86% |
| Aetna | Commercial|Rental | $6,341.11 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $6,485.22 | ↑ +104% |
| Sound Family Medicine | Commercial|All Plans | $7,336.32 | ↑ +131% |
| Molina | Commercial|Marketplace Exchange | $8,436.77 | ↑ +165% |
| Coordinated Care | Commercial|Ambetter Exchange | $8,583.49 | ↑ +170% |
| Uniform Medical Plan | Commercial|All Plans | $8,814.62 | ↑ +177% |
| BCBS - Regence | Commercial|All Plans | $10,134.20 | ↑ +219% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $12,517.58 | ↑ +294% |
| BCBS - Premera | Commercial|All Other Plans | $13,832.03 | ↑ +335% |
| Kaiser | Commercial|All Plans | $14,039.89 | ↑ +341% |
Visitor-reported prices
Comments
Lig/band angioaccess av fistula at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $9,460.50 | $3,518.52 – $8,954.64 |
| Kadlec Regional Medical Center | Richland | $7,769.30 | $632.23 – $10,281.45 |
| Providence St Peter Hospital | Olympia | $6,546.80 | $3,086.66 – $13,025.02 |
| St. Anne Hospital | Burien | $2,200.34 | $3,098.50 – $6,485.22 |
| St. Anthony Hospital | Gig Harbor | $2,191.64 | $5,188.18 – $8,105.48 |
| MultiCare Auburn Medical Center | Auburn | $5,440.80 | $1,506.25 – $15,156.63 |
| MultiCare Good Samaritan Hospital | Puyallup | $5,440.80 | $1,541.07 – $15,156.63 |
| St. Joseph Medical Center | Tacoma | $2,386.55 | $5,188.18 – $8,105.48 |