Removal of pancreas lesion at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$1,553.39
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.
$3,519.64
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.
$1,619.04 with Kaiser vs $3,167.68 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 | Commercial|All Plans | $1,619.04 | ↑ +4% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $1,935.81 | ↑ +25% |
| Uniform Medical Plan | Commercial|All Plans | $2,111.79 | ↑ +36% |
| BCBS - Regence | Commercial|All Plans | $2,111.79 | ↑ +36% |
| BCBS - Premera | Commercial|All Other Plans | $2,111.79 | ↑ +36% |
| Cigna | Commercial|All Plans | $2,217.38 | ↑ +43% |
| Aetna | Commercial|AWH | $2,393.36 | ↑ +54% |
| Aetna | Commercial|Sound Health | $2,534.15 | ↑ +63% |
| First Choice | Commercial|All Plans | $2,569.34 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $2,815.72 | ↑ +81% |
| Aetna | Commercial|WEA | $2,815.72 | ↑ +81% |
| United | Commercial|Cascade Care | $2,886.11 | ↑ +86% |
| United | Commercial|All Other Plans | $2,886.11 | ↑ +86% |
| Aetna | Commercial|Rental | $3,097.29 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $3,167.68 | ↑ +104% |
Visitor-reported prices
Comments
Removal of pancreas lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Anne Hospital | Burien | $1,074.75 | $1,513.45 – $3,167.68 |
| St. Anthony Hospital | Gig Harbor | $1,070.50 | $1,478.25 – $2,639.73 |
| St. Joseph Medical Center | Tacoma | $1,165.70 | $1,478.25 – $2,639.73 |
| St. Elizabeth Hospital | Enumclaw | $1,243.72 | $598.34 – $3,167.68 |
| St. Francis Hospital | Federal Way | $1,104.55 | $1,478.25 – $2,639.73 |
| St. Clare Hospital | Lakewood | $1,014.51 | $1,478.25 – $2,639.73 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $3,564.80 – $3,564.80 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $7,277.00 – $7,277.00 |