Ortho ewh rgd without jnt cstm w/fit&adj at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$382.86
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.
$867.46
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.
$546.50 with Cigna vs $3,549.50 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 | $546.50 | ↑ +43% |
| Aetna | Commercial|AWH | $589.88 | ↑ +54% |
| Aetna | Commercial|Sound Health | $624.58 | ↑ +63% |
| First Choice | Commercial|All Plans | $633.25 | ↑ +65% |
| Aetna | Commercial|WEA | $693.97 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $693.97 | ↑ +81% |
| United | Commercial|All Other Plans | $711.32 | ↑ +86% |
| United | Commercial|Cascade Care | $711.32 | ↑ +86% |
| Aetna | Commercial|Rental | $763.37 | ↑ +99% |
| Uniform Medical Plan | Commercial|All Plans | $772.71 | ↑ +102% |
| BCBS - Regence | Commercial|All Plans | $772.71 | ↑ +102% |
| MultiPlan | Commercial|All Plans | $780.72 | ↑ +104% |
| BCBS - Premera | Commercial|All Other Plans | $867.46 | ↑ +127% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $867.46 | ↑ +127% |
| Kaiser | Commercial|All Plans | $3,549.50 | ↑ +827% |
Visitor-reported prices
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Ortho ewh rgd without jnt cstm w/fit&adj at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $702.80 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $759.50 | $807.09 – $2,054.04 |
| Providence St Mary Medical Center | Walla Walla | $528.50 | not published |
| Providence Holy Family Hospital | Spokane | $774.90 | not published |
| St. Anne Hospital | Burien | $264.89 | $373.01 – $2,524.40 |
| St. Anthony Hospital | Gig Harbor | $263.84 | $433.73 – $2,609.57 |
| St. Joseph Medical Center | Tacoma | $287.31 | $433.73 – $2,609.57 |
| St. Elizabeth Hospital | Enumclaw | $306.53 | $147.47 – $780.72 |