Tilt table study at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$1,084.25
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.
$2,456.67
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.
$618.37 with Kaiser vs $2,325.87 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 | $618.37 | ↓ -43% |
| CHPW | Medicare|All Plans | $618.37 | ↓ -43% |
| Optum | Medicare|All Plans | $624.55 | ↓ -42% |
| Wellcare | Medicare|All Plans | $634.47 | ↓ -41% |
| BCBS - Regence | Medicare|All Plans | $636.92 | ↓ -41% |
| Aetna | Medicare|All Plans | $636.92 | ↓ -41% |
| BCBS - Premera | Medicare|All Plans | $636.92 | ↓ -41% |
| Humana | Medicare|All Plans | $661.66 | ↓ -39% |
| Molina | Medicare|All Plans | $667.84 | ↓ -38% |
| United | Medicare|All Plans | $667.84 | ↓ -38% |
| Sound Family Medicine | Commercial|All Plans | $1,236.74 | ↑ +14% |
| Molina | Commercial|Marketplace Exchange | $1,422.25 | ↑ +31% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,446.99 | ↑ +33% |
| Uniform Medical Plan | Commercial|All Plans | $1,482.20 | ↑ +37% |
| Cigna | Commercial|All Plans | $1,547.71 | ↑ +43% |
| Aetna | Commercial|AWH | $1,670.54 | ↑ +54% |
| BCBS - Regence | Commercial|All Plans | $1,704.09 | ↑ +57% |
| Aetna | Commercial|Sound Health | $1,768.81 | ↑ +63% |
| First Choice | Commercial|All Plans | $1,793.37 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $1,965.34 | ↑ +81% |
| Aetna | Commercial|WEA | $1,965.34 | ↑ +81% |
| United | Commercial|Cascade Care | $2,014.47 | ↑ +86% |
| United | Commercial|All Other Plans | $2,014.47 | ↑ +86% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $2,104.85 | ↑ +94% |
| Aetna | Commercial|Rental | $2,161.87 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $2,211.01 | ↑ +104% |
| Kaiser | Commercial|All Plans | $2,278.41 | ↑ +110% |
| BCBS - Premera | Commercial|All Other Plans | $2,325.87 | ↑ +115% |
Visitor-reported prices
Comments
Tilt table study at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $1,240.80 | $432.11 – $2,282.37 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,569.40 | $415.83 – $1,748.20 |
| Swedish Medical Center Cherry Hill | Seattle | $1,240.80 | $432.11 – $2,209.53 |
| Swedish Issaquah | Issaquah | $1,240.80 | $433.33 – $2,282.37 |
| Providence Mount Carmel Hospital | Colville | $1,425.20 | not published |
| Providence St Mary Medical Center | Walla Walla | $991.90 | $415.83 – $769.28 |
| Kadlec Regional Medical Center | Richland | $9,391.90 | $269.07 – $1,898.74 |
| Providence Holy Family Hospital | Spokane | $1,445.50 | $415.83 – $1,091.54 |