Prostate biopsy, any mthd at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$481.77
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.
$1,091.57
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.
$419.22 with CHPW vs $1,559.80 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 |
|---|---|---|---|
| CHPW | Medicare|All Plans | $419.22 | ↓ -13% |
| Kaiser | Medicare|All Plans | $419.22 | ↓ -13% |
| Optum | Medicare|All Plans | $423.41 | ↓ -12% |
| Wellcare | Medicare|All Plans | $425.50 | ↓ -12% |
| BCBS - Premera | Medicare|All Plans | $431.80 | ↓ -10% |
| Aetna | Medicare|All Plans | $431.80 | ↓ -10% |
| BCBS - Regence | Medicare|All Plans | $431.80 | ↓ -10% |
| Humana | Medicare|All Plans | $448.57 | ↓ -7% |
| United | Medicare|All Plans | $452.76 | ↓ -6% |
| Molina | Medicare|All Plans | $452.76 | ↓ -6% |
| Cigna | Commercial|All Plans | $643.96 | ↑ +34% |
| Aetna | Commercial|AWH | $742.27 | ↑ +54% |
| Aetna | Commercial|Sound Health | $785.94 | ↑ +63% |
| First Choice | Commercial|All Plans | $796.85 | ↑ +65% |
| Sound Family Medicine | Commercial|All Plans | $838.44 | ↑ +74% |
| Aetna | Commercial|WEA | $873.26 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $873.26 | ↑ +81% |
| United | Commercial|Cascade Care | $895.09 | ↑ +86% |
| United | Commercial|All Other Plans | $895.09 | ↑ +86% |
| Aetna | Commercial|Rental | $960.59 | ↑ +99% |
| Molina | Commercial|Marketplace Exchange | $964.21 | ↑ +100% |
| Coordinated Care | Commercial|Ambetter Exchange | $980.97 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $982.42 | ↑ +104% |
| Uniform Medical Plan | Commercial|All Plans | $994.01 | ↑ +106% |
| BCBS - Regence | Commercial|All Plans | $1,142.82 | ↑ +137% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $1,411.58 | ↑ +193% |
| Kaiser | Commercial|All Plans | $1,527.53 | ↑ +217% |
| BCBS - Premera | Commercial|All Other Plans | $1,559.80 | ↑ +224% |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $201.60 | $399.43 – $439.38 |
| Providence St Joseph Hospital | Chewelah | $224.00 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $146.40 | $367.14 – $1,332.03 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $284.20 | $399.43 – $1,020.28 |
| Swedish Medical Center Cherry Hill | Seattle | $146.40 | $367.14 – $1,289.52 |
| Swedish Issaquah | Issaquah | $146.40 | $367.14 – $1,332.03 |
| Central Medical Center | Seattle | $2,456.00 | $360.00 – $360.00 |
| Providence St Mary Medical Center | Walla Walla | $372.40 | $318.51 – $738.95 |