Repair elbow deb/attch open at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$3,972.14
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.
$9,000.00
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.
$3,781.33 with Kaiser 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $3,781.33 | ↓ -5% |
| CHPW | Medicare|All Plans | $3,781.33 | ↓ -5% |
| Optum | Medicare|All Plans | $3,819.14 | ↓ -4% |
| Wellcare | Medicare|All Plans | $3,831.56 | ↓ -4% |
| BCBS - Regence | Medicare|All Plans | $3,894.77 | ↓ -2% |
| Aetna | Medicare|All Plans | $3,894.77 | ↓ -2% |
| BCBS - Premera | Medicare|All Plans | $3,894.77 | ↓ -2% |
| Humana | Medicare|All Plans | $4,046.02 | ↑ +2% |
| United | Medicare|All Plans | $4,083.84 | ↑ +3% |
| Molina | Medicare|All Plans | $4,083.84 | ↑ +3% |
| Cigna | Commercial|All Plans | $5,670.00 | ↑ +43% |
| Aetna | Commercial|AWH | $6,120.00 | ↑ +54% |
| Aetna | Commercial|Sound Health | $6,480.00 | ↑ +63% |
| First Choice | Commercial|All Plans | $6,570.00 | ↑ +65% |
| Aetna | Commercial|WEA | $7,200.00 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $7,200.00 | ↑ +81% |
| United | Commercial|Cascade Care | $7,380.00 | ↑ +86% |
| United | Commercial|All Other Plans | $7,380.00 | ↑ +86% |
| Sound Family Medicine | Commercial|All Plans | $7,562.66 | ↑ +90% |
| Aetna | Commercial|Rental | $7,920.00 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $8,100.00 | ↑ +104% |
| Molina | Commercial|Marketplace Exchange | $8,697.06 | ↑ +119% |
| Coordinated Care | Commercial|Ambetter Exchange | $8,848.31 | ↑ +123% |
| Uniform Medical Plan | Commercial|All Plans | $8,951.09 | ↑ +125% |
| BCBS - Regence | Commercial|All Plans | $10,291.10 | ↑ +159% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $12,711.38 | ↑ +220% |
| Kaiser | Commercial|All Plans | $14,029.00 | ↑ +253% |
| BCBS - Premera | Commercial|All Other Plans | $14,046.19 | ↑ +254% |
Visitor-reported prices
Comments
Repair elbow deb/attch open at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Anne Hospital | Burien | $2,748.20 | $3,870.00 – $8,100.00 |
| St. Anthony Hospital | Gig Harbor | $2,737.34 | $6,480.00 – $8,099.19 |
| St. Joseph Medical Center | Tacoma | $2,980.78 | $6,480.00 – $8,099.19 |
| St. Elizabeth Hospital | Enumclaw | $3,180.28 | $1,530.00 – $8,100.00 |
| Virginia Mason Medical Center | Seattle | $4,577.25 | $9.72 – $2,863.64 |
| St. Francis Hospital | Federal Way | $2,824.41 | $6,480.00 – $8,099.19 |
| St. Clare Hospital | Lakewood | $2,594.17 | $6,480.00 – $8,099.19 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $3,646.14 – $4,010.75 |