Pr egd flexible transoral w/placement percutaneous gastrostomy tube at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$2,246.64
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.
$5,090.40
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.
$2,210.79 with Kaiser vs $8,257.25 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $2,210.79 | ↓ -2% |
| CHPW | Medicare|All Plans | $2,210.79 | ↓ -2% |
| Optum | Medicare|All Plans | $2,232.90 | ↓ -1% |
| Wellcare | Medicare|All Plans | $2,252.44 | ↑ +0% |
| BCBS - Regence | Medicare|All Plans | $2,277.11 | ↑ +1% |
| Aetna | Medicare|All Plans | $2,277.11 | ↑ +1% |
| BCBS - Premera | Medicare|All Plans | $2,277.11 | ↑ +1% |
| Humana | Medicare|All Plans | $2,365.55 | ↑ +5% |
| United | Medicare|All Plans | $2,387.65 | ↑ +6% |
| Molina | Medicare|All Plans | $2,387.65 | ↑ +6% |
| Cigna | Commercial|All Plans | $3,206.96 | ↑ +43% |
| Aetna | Commercial|AWH | $3,461.48 | ↑ +54% |
| Aetna | Commercial|Sound Health | $3,665.09 | ↑ +63% |
| First Choice | Commercial|All Plans | $3,716.00 | ↑ +65% |
| Aetna | Commercial|WEA | $4,072.32 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $4,072.32 | ↑ +81% |
| United | Commercial|Cascade Care | $4,174.13 | ↑ +86% |
| United | Commercial|All Other Plans | $4,174.13 | ↑ +86% |
| Sound Family Medicine | Commercial|All Plans | $4,421.58 | ↑ +97% |
| Aetna | Commercial|Rental | $4,479.56 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $4,581.36 | ↑ +104% |
| Molina | Commercial|Marketplace Exchange | $5,084.82 | ↑ +126% |
| Coordinated Care | Commercial|Ambetter Exchange | $5,173.25 | ↑ +130% |
| Uniform Medical Plan | Commercial|All Plans | $5,262.02 | ↑ +134% |
| BCBS - Regence | Commercial|All Plans | $6,049.77 | ↑ +169% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $7,472.56 | ↑ +233% |
| Kaiser | Commercial|All Plans | $8,208.11 | ↑ +265% |
| BCBS - Premera | Commercial|All Other Plans | $8,257.25 | ↑ +268% |
Visitor-reported prices
Comments
Pr egd flexible transoral w/placement percutaneous gastrostomy tube at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $3,040.10 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $3,589.44 | $2,222.08 – $7,584.54 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,964.90 | $2,138.32 – $5,442.03 |
| Swedish Medical Center Cherry Hill | Seattle | $3,589.44 | $2,222.08 – $7,304.21 |
| Swedish Issaquah | Issaquah | $3,589.44 | $2,228.31 – $7,584.54 |
| Providence Centralia Hospital | Centralia | $3,441.36 | $2,222.08 – $9,110.79 |
| Providence Mount Carmel Hospital | Colville | $3,047.80 | not published |
| Providence St Mary Medical Center | Walla Walla | $2,885.40 | $1,686.08 – $3,955.90 |