Revision tips at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$5,250.45
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.
$11,896.38
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.
$6,644.67 with Kaiser vs $24,802.99 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 | $6,644.67 | ↑ +27% |
| CHPW | Medicare|All Plans | $6,644.67 | ↑ +27% |
| Optum | Medicare|All Plans | $6,711.12 | ↑ +28% |
| Wellcare | Medicare|All Plans | $6,765.85 | ↑ +29% |
| BCBS - Regence | Medicare|All Plans | $6,844.01 | ↑ +30% |
| Aetna | Medicare|All Plans | $6,844.01 | ↑ +30% |
| BCBS - Premera | Medicare|All Plans | $6,844.01 | ↑ +30% |
| Humana | Medicare|All Plans | $7,109.80 | ↑ +35% |
| United | Medicare|All Plans | $7,176.24 | ↑ +37% |
| Molina | Medicare|All Plans | $7,176.24 | ↑ +37% |
| Cigna | Commercial|All Plans | $7,494.72 | ↑ +43% |
| Aetna | Commercial|AWH | $8,089.54 | ↑ +54% |
| Aetna | Commercial|Sound Health | $8,565.40 | ↑ +63% |
| First Choice | Commercial|All Plans | $8,684.36 | ↑ +65% |
| Aetna | Commercial|WEA | $9,517.11 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $9,517.11 | ↑ +81% |
| United | Commercial|Cascade Care | $9,755.04 | ↑ +86% |
| United | Commercial|All Other Plans | $9,755.04 | ↑ +86% |
| Aetna | Commercial|Rental | $10,468.82 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $10,706.75 | ↑ +104% |
| Sound Family Medicine | Commercial|All Plans | $13,289.34 | ↑ +153% |
| Molina | Commercial|Marketplace Exchange | $15,282.74 | ↑ +191% |
| Coordinated Care | Commercial|Ambetter Exchange | $15,548.53 | ↑ +196% |
| Uniform Medical Plan | Commercial|All Plans | $15,806.01 | ↑ +201% |
| BCBS - Regence | Commercial|All Plans | $18,172.22 | ↑ +246% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $22,445.96 | ↑ +328% |
| Kaiser | Commercial|All Plans | $24,580.18 | ↑ +368% |
| BCBS - Premera | Commercial|All Other Plans | $24,802.99 | ↑ +372% |
Visitor-reported prices
Comments
Revision tips at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $17,162.88 | $6,590.77 – $24,125.54 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $19,497.80 | $5,419.00 – $16,141.31 |
| Swedish Medical Center Cherry Hill | Seattle | $17,162.88 | $6,590.77 – $23,233.84 |
| Swedish Issaquah | Issaquah | $17,162.88 | $6,609.26 – $24,125.54 |
| Kadlec Regional Medical Center | Richland | $17,120.60 | $620.18 – $18,379.01 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $25,560.60 | $6,481.57 – $18,775.32 |
| Providence St Peter Hospital | Olympia | $12,461.28 | $3,484.00 – $23,283.38 |
| MultiCare Valley Hospital | Spokane Valley | $11,219.60 | $3,998.07 – $23,208.53 |