Microsatellite instability at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$240.25
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.
$544.34
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.
$342.94 with Cigna vs $1,642.76 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $342.94 | ↑ +43% |
| Kaiser | Medicare|All Plans | $348.56 | ↑ +45% |
| BCBS - Regence | Medicare|All Plans | $348.56 | ↑ +45% |
| CHPW | Medicare|All Plans | $348.56 | ↑ +45% |
| Optum | Medicare|All Plans | $352.05 | ↑ +47% |
| BCBS - Premera | Medicare|All Plans | $359.02 | ↑ +49% |
| Aetna | Medicare|All Plans | $359.02 | ↑ +49% |
| BCBS - Regence | Commercial|All Plans | $365.99 | ↑ +52% |
| Aetna | Commercial|AWH | $370.16 | ↑ +54% |
| Humana | Medicare|All Plans | $372.96 | ↑ +55% |
| United | Medicare|All Plans | $376.44 | ↑ +57% |
| Molina | Medicare|All Plans | $376.44 | ↑ +57% |
| Wellcare | Medicare|All Plans | $376.44 | ↑ +57% |
| Aetna | Commercial|Sound Health | $391.93 | ↑ +63% |
| First Choice | Commercial|All Plans | $397.37 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $435.48 | ↑ +81% |
| Aetna | Commercial|WEA | $435.48 | ↑ +81% |
| United | Commercial|Cascade Care | $446.36 | ↑ +86% |
| United | Commercial|All Other Plans | $446.36 | ↑ +86% |
| Aetna | Commercial|Rental | $479.02 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $489.91 | ↑ +104% |
| Uniform Medical Plan | Commercial|All Plans | $522.84 | ↑ +118% |
| BCBS - Premera | Commercial|All Other Plans | $544.34 | ↑ +127% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $544.34 | ↑ +127% |
| Sound Family Medicine | Commercial|All Plans | $697.12 | ↑ +190% |
| Molina | Commercial|Marketplace Exchange | $801.69 | ↑ +234% |
| Coordinated Care | Commercial|Ambetter Exchange | $815.63 | ↑ +239% |
| Kaiser | Commercial|All Plans | $1,642.76 | ↑ +584% |
Visitor-reported prices
Comments
Microsatellite instability at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $1,092.00 | $313.70 – $1,058.93 |
| Swedish Medical Center Cherry Hill | Seattle | $1,092.00 | $313.70 – $1,045.68 |
| Swedish Issaquah | Issaquah | $1,092.00 | $313.70 – $773.80 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $1,183.00 | $348.56 – $808.66 |
| MultiCare Valley Hospital | Spokane Valley | $639.20 | $348.56 – $631.94 |
| St. Anne Hospital | Burien | $166.22 | $234.07 – $690.15 |
| St. Anthony Hospital | Gig Harbor | $165.57 | $326.61 – $690.15 |
| MultiCare Auburn Medical Center | Auburn | $529.20 | $341.59 – $683.18 |