Assay alkaline phosphatase at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$46.72
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.
$105.85
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.
$8.26 with Kaiser vs $95.27 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 | $8.26 | ↓ -82% |
| CHPW | Medicare|All Plans | $8.26 | ↓ -82% |
| BCBS - Regence | Medicare|All Plans | $8.26 | ↓ -82% |
| Optum | Medicare|All Plans | $8.34 | ↓ -82% |
| BCBS - Premera | Medicare|All Plans | $8.51 | ↓ -82% |
| Aetna | Medicare|All Plans | $8.51 | ↓ -82% |
| BCBS - Regence | Commercial|All Plans | $8.67 | ↓ -81% |
| Humana | Medicare|All Plans | $8.84 | ↓ -81% |
| Wellcare | Medicare|All Plans | $8.92 | ↓ -81% |
| Molina | Medicare|All Plans | $8.92 | ↓ -81% |
| United | Medicare|All Plans | $8.92 | ↓ -81% |
| Uniform Medical Plan | Commercial|All Plans | $12.39 | ↓ -73% |
| BCBS - Premera | Commercial|All Other Plans | $14.46 | ↓ -69% |
| Sound Family Medicine | Commercial|All Plans | $16.52 | ↓ -65% |
| Molina | Commercial|Marketplace Exchange | $19.00 | ↓ -59% |
| Coordinated Care | Commercial|Ambetter Exchange | $19.33 | ↓ -59% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $20.98 | ↓ -55% |
| Cigna | Commercial|All Plans | $23.44 | ↓ -50% |
| Aetna | Commercial|AWH | $71.98 | ↑ +54% |
| Aetna | Commercial|Sound Health | $76.22 | ↑ +63% |
| First Choice | Commercial|All Plans | $77.28 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $84.68 | ↑ +81% |
| Aetna | Commercial|WEA | $84.68 | ↑ +81% |
| United | Commercial|Cascade Care | $86.80 | ↑ +86% |
| United | Commercial|All Other Plans | $86.80 | ↑ +86% |
| Aetna | Commercial|Rental | $93.15 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $95.27 | ↑ +104% |
Visitor-reported prices
Comments
Assay alkaline phosphatase at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $37.60 | $6.00 – $6.00 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $17.68 | $8.26 – $34.69 |
| Providence St Peter Hospital | Olympia | $159.64 | $7.02 – $46.26 |
| St. Anne Hospital | Burien | $32.33 | $8.26 – $95.27 |
| St. Anthony Hospital | Gig Harbor | $32.20 | $8.26 – $79.39 |
| St. Joseph Medical Center | Tacoma | $35.06 | $8.26 – $79.39 |
| St. Elizabeth Hospital | Enumclaw | $37.41 | $8.26 – $95.27 |
| St. Francis Hospital | Federal Way | $33.22 | $8.26 – $79.39 |