Anca screen with reflex to titer -quest at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$106.28
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.
$240.80
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.
$15.05 with Kaiser vs $216.72 with MultiPlan — 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 | $15.05 | ↓ -86% |
| CHPW | Medicare|All Plans | $15.05 | ↓ -86% |
| BCBS - Regence | Medicare|All Plans | $15.05 | ↓ -86% |
| Optum | Medicare|All Plans | $15.20 | ↓ -86% |
| BCBS - Premera | Medicare|All Plans | $15.50 | ↓ -85% |
| Aetna | Medicare|All Plans | $15.50 | ↓ -85% |
| BCBS - Regence | Commercial|All Plans | $15.80 | ↓ -85% |
| Humana | Medicare|All Plans | $16.10 | ↓ -85% |
| Wellcare | Medicare|All Plans | $16.25 | ↓ -85% |
| Molina | Medicare|All Plans | $16.25 | ↓ -85% |
| United | Medicare|All Plans | $16.25 | ↓ -85% |
| Uniform Medical Plan | Commercial|All Plans | $22.58 | ↓ -79% |
| BCBS - Premera | Commercial|All Other Plans | $26.34 | ↓ -75% |
| Sound Family Medicine | Commercial|All Plans | $30.10 | ↓ -72% |
| Molina | Commercial|Marketplace Exchange | $34.62 | ↓ -67% |
| Coordinated Care | Commercial|Ambetter Exchange | $35.22 | ↓ -67% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $38.23 | ↓ -64% |
| Cigna | Commercial|All Plans | $48.32 | ↓ -55% |
| Aetna | Commercial|AWH | $163.75 | ↑ +54% |
| Aetna | Commercial|Sound Health | $173.38 | ↑ +63% |
| First Choice | Commercial|All Plans | $175.79 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $192.64 | ↑ +81% |
| Aetna | Commercial|WEA | $192.64 | ↑ +81% |
| United | Commercial|Cascade Care | $197.46 | ↑ +86% |
| United | Commercial|All Other Plans | $197.46 | ↑ +86% |
| Aetna | Commercial|Rental | $211.91 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $216.72 | ↑ +104% |
Visitor-reported prices
Comments
Anca screen with reflex to titer -quest at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $272.30 | not published |
| Central Medical Center | Seattle | $548.80 | $11.00 – $11.00 |
| Kadlec Regional Medical Center | Richland | $483.00 | $15.05 – $58.85 |
| Providence Holy Family Hospital | Spokane | $863.80 | $15.05 – $64.24 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $53.56 | $15.05 – $63.21 |
| MultiCare Valley Hospital | Spokane Valley | $67.20 | $7.07 – $27.29 |
| MultiCare Yakima Memorial Hospital | Yakima | $27.20 | $15.58 – $27.01 |
| St. Anne Hospital | Burien | $73.53 | $15.05 – $216.72 |