Tr retinal les preterm inf at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$1,021.84
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.
$2,315.25
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.
$639.35 with Kaiser vs $2,522.40 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 | $639.35 | ↓ -37% |
| CHPW | Medicare|All Plans | $639.35 | ↓ -37% |
| Optum | Medicare|All Plans | $645.74 | ↓ -37% |
| BCBS - Regence | Medicare|All Plans | $658.53 | ↓ -36% |
| Aetna | Medicare|All Plans | $658.53 | ↓ -36% |
| BCBS - Premera | Medicare|All Plans | $658.53 | ↓ -36% |
| Humana | Medicare|All Plans | $684.10 | ↓ -33% |
| Wellcare | Medicare|All Plans | $688.07 | ↓ -33% |
| United | Medicare|All Plans | $690.50 | ↓ -32% |
| Molina | Medicare|All Plans | $690.50 | ↓ -32% |
| Sound Family Medicine | Commercial|All Plans | $1,278.70 | ↑ +25% |
| Cigna | Commercial|All Plans | $1,458.61 | ↑ +43% |
| Molina | Commercial|Marketplace Exchange | $1,470.51 | ↑ +44% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,496.08 | ↑ +46% |
| Aetna | Commercial|AWH | $1,574.37 | ↑ +54% |
| Uniform Medical Plan | Commercial|All Plans | $1,607.44 | ↑ +57% |
| Aetna | Commercial|Sound Health | $1,666.98 | ↑ +63% |
| First Choice | Commercial|All Plans | $1,690.14 | ↑ +65% |
| BCBS - Regence | Commercial|All Plans | $1,848.08 | ↑ +81% |
| Aetna | Commercial|WEA | $1,852.20 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $1,852.20 | ↑ +81% |
| United | Commercial|All Other Plans | $1,898.51 | ↑ +86% |
| United | Commercial|Cascade Care | $1,898.51 | ↑ +86% |
| Aetna | Commercial|Rental | $2,037.42 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $2,083.73 | ↑ +104% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $2,282.69 | ↑ +123% |
| Kaiser | Commercial|All Plans | $2,501.52 | ↑ +145% |
| BCBS - Premera | Commercial|All Other Plans | $2,522.40 | ↑ +147% |
Visitor-reported prices
Comments
Tr retinal les preterm inf at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,330.00 | $612.89 – $1,571.48 |
| St. Anne Hospital | Burien | $706.98 | $995.56 – $2,083.73 |
| St. Anthony Hospital | Gig Harbor | $704.19 | $1,444.17 – $1,736.44 |
| St. Joseph Medical Center | Tacoma | $766.81 | $1,444.17 – $1,736.44 |
| St. Elizabeth Hospital | Enumclaw | $818.13 | $393.60 – $2,083.73 |
| Virginia Mason Medical Center | Seattle | $914.94 | $7.31 – $4,921.54 |
| St. Francis Hospital | Federal Way | $726.58 | $1,444.17 – $1,736.44 |
| St. Clare Hospital | Lakewood | $667.35 | $1,444.17 – $1,736.44 |