Revision open av fistula without thromb at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$4,624.86
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.
$10,478.92
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.
$6,299.91 with Kaiser vs $24,223.69 with Kaiser — 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 | $6,299.91 | ↑ +36% |
| CHPW | Medicare|All Plans | $6,299.91 | ↑ +36% |
| Optum | Medicare|All Plans | $6,362.91 | ↑ +38% |
| BCBS - Regence | Medicare|All Plans | $6,488.91 | ↑ +40% |
| BCBS - Premera | Medicare|All Plans | $6,488.91 | ↑ +40% |
| Aetna | Medicare|All Plans | $6,488.91 | ↑ +40% |
| Wellcare | Medicare|All Plans | $6,505.05 | ↑ +41% |
| Cigna | Commercial|All Plans | $6,601.72 | ↑ +43% |
| Humana | Medicare|All Plans | $6,740.90 | ↑ +46% |
| United | Medicare|All Plans | $6,803.90 | ↑ +47% |
| Molina | Medicare|All Plans | $6,803.90 | ↑ +47% |
| Aetna | Commercial|AWH | $7,125.67 | ↑ +54% |
| Aetna | Commercial|Sound Health | $7,544.83 | ↑ +63% |
| First Choice | Commercial|All Plans | $7,649.62 | ↑ +65% |
| Aetna | Commercial|WEA | $8,383.14 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $8,383.14 | ↑ +81% |
| United | Commercial|Cascade Care | $8,592.72 | ↑ +86% |
| United | Commercial|All Other Plans | $8,592.72 | ↑ +86% |
| Aetna | Commercial|Rental | $9,221.45 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $9,431.03 | ↑ +104% |
| Sound Family Medicine | Commercial|All Plans | $12,599.82 | ↑ +172% |
| Molina | Commercial|Marketplace Exchange | $14,489.79 | ↑ +213% |
| Coordinated Care | Commercial|Ambetter Exchange | $14,741.79 | ↑ +219% |
| Uniform Medical Plan | Commercial|All Plans | $15,196.73 | ↑ +229% |
| BCBS - Regence | Commercial|All Plans | $17,471.74 | ↑ +278% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $21,580.75 | ↑ +367% |
| BCBS - Premera | Commercial|All Other Plans | $23,846.92 | ↑ +416% |
| Kaiser | Commercial|All Plans | $24,223.69 | ↑ +424% |
Visitor-reported prices
Comments
Revision open av fistula without thromb at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $11,996.00 | not published |
| Kadlec Regional Medical Center | Richland | $15,318.80 | $1,274.78 – $17,051.86 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $8,758.88 | $6,336.85 – $17,419.56 |
| MultiCare Valley Hospital | Spokane Valley | $7,291.20 | $2,393.14 – $22,871.93 |
| MultiCare Yakima Memorial Hospital | Yakima | $8,858.00 | $6,638.35 – $17,103.54 |
| St. Anne Hospital | Burien | $3,199.80 | $4,505.94 – $9,431.03 |
| St. Anthony Hospital | Gig Harbor | $3,187.15 | $7,544.83 – $13,984.77 |
| MultiCare Auburn Medical Center | Auburn | $9,300.80 | $2,447.85 – $26,710.80 |