Unlisted px hands/fingers at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$264.68
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.
$599.70
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.
$279.15 with Wellcare vs $1,023.33 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 |
|---|---|---|---|
| Wellcare | Medicare|All Plans | $279.15 | ↑ +5% |
| Kaiser | Medicare|All Plans | $279.56 | ↑ +6% |
| CHPW | Medicare|All Plans | $279.56 | ↑ +6% |
| Optum | Medicare|All Plans | $282.36 | ↑ +7% |
| BCBS - Regence | Medicare|All Plans | $287.95 | ↑ +9% |
| Aetna | Medicare|All Plans | $287.95 | ↑ +9% |
| BCBS - Premera | Medicare|All Plans | $287.95 | ↑ +9% |
| Humana | Medicare|All Plans | $299.13 | ↑ +13% |
| United | Medicare|All Plans | $301.92 | ↑ +14% |
| Molina | Medicare|All Plans | $301.92 | ↑ +14% |
| Cigna | Commercial|All Plans | $377.82 | ↑ +43% |
| Aetna | Commercial|AWH | $407.80 | ↑ +54% |
| Aetna | Commercial|Sound Health | $431.79 | ↑ +63% |
| First Choice | Commercial|All Plans | $437.79 | ↑ +65% |
| Aetna | Commercial|WEA | $479.76 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $479.76 | ↑ +81% |
| United | Commercial|Cascade Care | $491.76 | ↑ +86% |
| United | Commercial|All Other Plans | $491.76 | ↑ +86% |
| Aetna | Commercial|Rental | $527.74 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $539.73 | ↑ +104% |
| Sound Family Medicine | Commercial|All Plans | $559.12 | ↑ +111% |
| Molina | Commercial|Marketplace Exchange | $642.99 | ↑ +143% |
| Uniform Medical Plan | Commercial|All Plans | $652.14 | ↑ +146% |
| Coordinated Care | Commercial|Ambetter Exchange | $654.17 | ↑ +147% |
| BCBS - Regence | Commercial|All Plans | $749.77 | ↑ +183% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $926.08 | ↑ +250% |
| Kaiser | Commercial|All Plans | $975.64 | ↑ +269% |
| BCBS - Premera | Commercial|All Other Plans | $1,023.33 | ↑ +287% |
Visitor-reported prices
Comments
Unlisted px hands/fingers at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $177.10 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $641.28 | $285.64 – $1,013.51 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $455.00 | $274.87 – $699.55 |
| Swedish Medical Center Cherry Hill | Seattle | $641.28 | $285.64 – $981.16 |
| Swedish Issaquah | Issaquah | $641.28 | $286.44 – $1,013.51 |
| Providence Centralia Hospital | Centralia | $438.36 | $285.64 – $1,261.49 |
| Providence Mount Carmel Hospital | Colville | $261.10 | not published |
| Kadlec Regional Medical Center | Richland | $3,991.40 | $274.87 – $800.02 |