Observation direct referral from physician office for admission at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$378.06
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.
$856.59
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.
$539.66 with Cigna vs $2,787.29 with BCBS - Premera — 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 | $539.66 | ↑ +43% |
| Aetna | Commercial|AWH | $582.49 | ↑ +54% |
| Aetna | Commercial|Sound Health | $616.75 | ↑ +63% |
| First Choice | Commercial|All Plans | $625.32 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $685.28 | ↑ +81% |
| Aetna | Commercial|WEA | $685.28 | ↑ +81% |
| United | Commercial|Cascade Care | $702.41 | ↑ +86% |
| United | Commercial|All Other Plans | $702.41 | ↑ +86% |
| CHPW | Medicare|All Plans | $714.52 | ↑ +89% |
| Kaiser | Medicare|All Plans | $714.52 | ↑ +89% |
| Optum | Medicare|All Plans | $721.67 | ↑ +91% |
| Aetna | Medicare|All Plans | $735.96 | ↑ +95% |
| BCBS - Premera | Medicare|All Plans | $735.96 | ↑ +95% |
| BCBS - Regence | Medicare|All Plans | $735.96 | ↑ +95% |
| Aetna | Commercial|Rental | $753.80 | ↑ +99% |
| Wellcare | Medicare|All Plans | $760.33 | ↑ +101% |
| Humana | Medicare|All Plans | $764.54 | ↑ +102% |
| MultiPlan | Commercial|All Plans | $770.94 | ↑ +104% |
| Molina | Medicare|All Plans | $771.68 | ↑ +104% |
| United | Medicare|All Plans | $771.68 | ↑ +104% |
| Sound Family Medicine | Commercial|All Plans | $1,429.04 | ↑ +278% |
| Molina | Commercial|Marketplace Exchange | $1,643.40 | ↑ +335% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,671.98 | ↑ +342% |
| Uniform Medical Plan | Commercial|All Plans | $1,776.24 | ↑ +370% |
| BCBS - Regence | Commercial|All Plans | $2,042.15 | ↑ +440% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $2,522.42 | ↑ +567% |
| Kaiser | Commercial|All Plans | $2,583.24 | ↑ +583% |
| BCBS - Premera | Commercial|All Other Plans | $2,787.29 | ↑ +637% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $153.30 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $162.24 | $689.62 – $2,095.06 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,036.00 | $663.63 – $1,688.93 |
| Swedish Medical Center Cherry Hill | Seattle | $162.24 | $689.62 – $1,613.71 |
| Swedish Issaquah | Issaquah | $162.24 | $691.55 – $1,535.25 |
| Providence Centralia Hospital | Centralia | $1,086.80 | $689.62 – $1,275.79 |
| Providence St Mary Medical Center | Walla Walla | $145.60 | $569.15 – $1,227.71 |
| Kadlec Regional Medical Center | Richland | $688.80 | $663.63 – $1,227.71 |