Refill maint impl spine pump at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$377.39
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.
$855.08
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.
$344.02 with CHPW vs $1,285.28 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 | $344.02 | ↓ -9% |
| Kaiser | Medicare|All Plans | $344.02 | ↓ -9% |
| Optum | Medicare|All Plans | $347.46 | ↓ -8% |
| Wellcare | Medicare|All Plans | $350.60 | ↓ -7% |
| BCBS - Premera | Medicare|All Plans | $354.34 | ↓ -6% |
| Aetna | Medicare|All Plans | $354.34 | ↓ -6% |
| BCBS - Regence | Medicare|All Plans | $354.34 | ↓ -6% |
| Humana | Medicare|All Plans | $368.10 | ↓ -2% |
| Molina | Medicare|All Plans | $371.54 | ↓ -2% |
| United | Medicare|All Plans | $371.54 | ↓ -2% |
| Cigna | Commercial|All Plans | $538.71 | ↑ +43% |
| Aetna | Commercial|AWH | $581.46 | ↑ +54% |
| Aetna | Commercial|Sound Health | $615.66 | ↑ +63% |
| First Choice | Commercial|All Plans | $624.21 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $684.07 | ↑ +81% |
| Aetna | Commercial|WEA | $684.07 | ↑ +81% |
| Sound Family Medicine | Commercial|All Plans | $688.04 | ↑ +82% |
| United | Commercial|Cascade Care | $701.17 | ↑ +86% |
| United | Commercial|All Other Plans | $701.17 | ↑ +86% |
| Aetna | Commercial|Rental | $752.48 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $769.58 | ↑ +104% |
| Molina | Commercial|Marketplace Exchange | $791.25 | ↑ +110% |
| Coordinated Care | Commercial|Ambetter Exchange | $805.01 | ↑ +113% |
| Uniform Medical Plan | Commercial|All Plans | $819.06 | ↑ +117% |
| BCBS - Regence | Commercial|All Plans | $941.67 | ↑ +150% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $1,163.14 | ↑ +208% |
| Kaiser | Commercial|All Plans | $1,281.42 | ↑ +240% |
| BCBS - Premera | Commercial|All Other Plans | $1,285.28 | ↑ +241% |
Visitor-reported prices
Comments
Refill maint impl spine pump at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $863.80 | $342.05 – $870.52 |
| Providence Holy Family Hospital | Spokane | $929.60 | $342.05 – $897.88 |
| MultiCare Yakima Memorial Hospital | Yakima | $331.60 | $366.19 – $921.83 |
| St. Anne Hospital | Burien | $261.11 | $367.69 – $769.58 |
| St. Anthony Hospital | Gig Harbor | $260.08 | $615.66 – $739.79 |
| MultiCare Auburn Medical Center | Auburn | $417.20 | $30.66 – $1,473.43 |
| MultiCare Good Samaritan Hospital | Puyallup | $417.20 | $31.36 – $1,473.43 |
| St. Joseph Medical Center | Tacoma | $283.21 | $615.66 – $739.79 |