Oth resp proc, indiv at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$72.27
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.
$163.74
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.
$28.54 with Kaiser vs $147.37 with MultiPlan — 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $28.54 | ↓ -61% |
| CHPW | Medicare|All Plans | $28.54 | ↓ -61% |
| Optum | Medicare|All Plans | $28.83 | ↓ -60% |
| BCBS - Regence | Medicare|All Plans | $29.40 | ↓ -59% |
| Aetna | Medicare|All Plans | $29.40 | ↓ -59% |
| BCBS - Premera | Medicare|All Plans | $29.40 | ↓ -59% |
| Humana | Medicare|All Plans | $30.54 | ↓ -58% |
| United | Medicare|All Plans | $30.82 | ↓ -57% |
| Molina | Medicare|All Plans | $30.82 | ↓ -57% |
| Wellcare | Medicare|All Plans | $35.25 | ↓ -51% |
| Sound Family Medicine | Commercial|All Plans | $57.08 | ↓ -21% |
| Molina | Commercial|Marketplace Exchange | $65.64 | ↓ -9% |
| Coordinated Care | Commercial|Ambetter Exchange | $66.78 | ↓ -8% |
| Uniform Medical Plan | Commercial|All Plans | $82.34 | ↑ +14% |
| BCBS - Regence | Commercial|All Plans | $94.67 | ↑ +31% |
| Cigna | Commercial|All Plans | $103.16 | ↑ +43% |
| Aetna | Commercial|AWH | $111.35 | ↑ +54% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $116.94 | ↑ +62% |
| Kaiser | Commercial|All Plans | $117.64 | ↑ +63% |
| Aetna | Commercial|Sound Health | $117.90 | ↑ +63% |
| First Choice | Commercial|All Plans | $119.54 | ↑ +65% |
| BCBS - Premera | Commercial|All Other Plans | $129.22 | ↑ +79% |
| Aetna | Commercial|WEA | $131.00 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $131.00 | ↑ +81% |
| United | Commercial|Cascade Care | $134.27 | ↑ +86% |
| United | Commercial|All Other Plans | $134.27 | ↑ +86% |
| Aetna | Commercial|Rental | $144.10 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $147.37 | ↑ +104% |
Visitor-reported prices
Comments
Oth resp proc, indiv at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $29.40 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $576.96 | $33.49 – $108.05 |
| Swedish Medical Center Cherry Hill | Seattle | $576.96 | $33.49 – $104.60 |
| Swedish Issaquah | Issaquah | $576.96 | $33.59 – $108.05 |
| Providence St Mary Medical Center | Walla Walla | $137.90 | $26.38 – $59.63 |
| Kadlec Regional Medical Center | Richland | $112.00 | $17.21 – $89.89 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $206.44 | $32.94 – $96.56 |
| MultiCare Valley Hospital | Spokane Valley | $67.60 | $32.53 – $111.07 |