Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$1,826.89
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.
$4,139.32
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.
$2,607.78 with Cigna vs $14,046.19 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 | $2,607.78 | ↑ +43% |
| Aetna | Commercial|AWH | $2,814.74 | ↑ +54% |
| Aetna | Commercial|Sound Health | $2,980.32 | ↑ +63% |
| First Choice | Commercial|All Plans | $3,021.71 | ↑ +65% |
| Aetna | Commercial|WEA | $3,311.46 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $3,311.46 | ↑ +81% |
| United | Commercial|All Other Plans | $3,394.25 | ↑ +86% |
| United | Commercial|Cascade Care | $3,394.25 | ↑ +86% |
| Aetna | Commercial|Rental | $3,642.61 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $3,725.39 | ↑ +104% |
| Kaiser | Medicare|All Plans | $3,781.33 | ↑ +107% |
| CHPW | Medicare|All Plans | $3,781.33 | ↑ +107% |
| Optum | Medicare|All Plans | $3,819.14 | ↑ +109% |
| Wellcare | Medicare|All Plans | $3,831.56 | ↑ +110% |
| BCBS - Premera | Medicare|All Plans | $3,894.77 | ↑ +113% |
| Aetna | Medicare|All Plans | $3,894.77 | ↑ +113% |
| BCBS - Regence | Medicare|All Plans | $3,894.77 | ↑ +113% |
| Humana | Medicare|All Plans | $4,046.02 | ↑ +121% |
| United | Medicare|All Plans | $4,083.84 | ↑ +124% |
| Molina | Medicare|All Plans | $4,083.84 | ↑ +124% |
| Sound Family Medicine | Commercial|All Plans | $7,562.66 | ↑ +314% |
| Molina | Commercial|Marketplace Exchange | $8,697.06 | ↑ +376% |
| Coordinated Care | Commercial|Ambetter Exchange | $8,848.31 | ↑ +384% |
| Uniform Medical Plan | Commercial|All Plans | $8,951.09 | ↑ +390% |
| BCBS - Regence | Commercial|All Plans | $10,291.10 | ↑ +463% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $12,711.38 | ↑ +596% |
| Kaiser | Commercial|All Plans | $14,029.00 | ↑ +668% |
| BCBS - Premera | Commercial|All Other Plans | $14,046.19 | ↑ +669% |
Visitor-reported prices
Comments
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $1,534.40 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $8,669.76 | $3,788.94 – $13,331.38 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $4,424.00 | $3,646.14 – $9,279.41 |
| Swedish Medical Center Cherry Hill | Seattle | $8,669.76 | $3,788.94 – $12,838.64 |
| Swedish Issaquah | Issaquah | $8,669.76 | $3,799.57 – $13,331.38 |
| Providence Centralia Hospital | Centralia | $6,876.48 | $3,788.94 – $16,014.08 |
| Providence Mount Carmel Hospital | Colville | $1,836.80 | not published |
| Providence St Mary Medical Center | Walla Walla | $4,815.30 | $2,868.15 – $6,745.35 |