Assay of semen fructose at St. Michael Medical Center

1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 17, 2026

$64.79

Cash price

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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.

$146.79

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$17.34 with Kaiser vs $132.12 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 →

Payer
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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
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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 $17.34 ↓ -73%
CHPW Medicare|All Plans $17.34 ↓ -73%
BCBS - Regence Medicare|All Plans $17.34 ↓ -73%
Optum Medicare|All Plans $17.51 ↓ -73%
BCBS - Premera Medicare|All Plans $17.86 ↓ -72%
Aetna Medicare|All Plans $17.86 ↓ -72%
BCBS - Regence Commercial|All Plans $18.21 ↓ -72%
Humana Medicare|All Plans $18.55 ↓ -71%
Wellcare Medicare|All Plans $18.73 ↓ -71%
Molina Medicare|All Plans $18.73 ↓ -71%
United Medicare|All Plans $18.73 ↓ -71%
Uniform Medical Plan Commercial|All Plans $26.01 ↓ -60%
BCBS - Premera Commercial|All Other Plans $30.35 ↓ -53%
Sound Family Medicine Commercial|All Plans $34.68 ↓ -46%
Molina Commercial|Marketplace Exchange $39.88 ↓ -38%
Coordinated Care Commercial|Ambetter Exchange $40.58 ↓ -37%
BCBS - Premera Commercial|LifeWise Primary Exchange $44.04 ↓ -32%
Cigna Commercial|All Plans $55.64 ↓ -14%
Aetna Commercial|AWH $99.82 ↑ +54%
Aetna Commercial|Sound Health $105.69 ↑ +63%
First Choice Commercial|All Plans $107.16 ↑ +65%
Aetna Commercial|All Other Plans $117.44 ↑ +81%
Aetna Commercial|WEA $117.44 ↑ +81%
United Commercial|Cascade Care $120.37 ↑ +86%
United Commercial|All Other Plans $120.37 ↑ +86%
Aetna Commercial|Rental $129.18 ↑ +99%
MultiPlan Commercial|All Plans $132.12 ↑ +104%

Visitor-reported prices

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Assay of semen fructose at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $77.60 $13.00 – $13.00
St. Anne Hospital Burien $44.83 $17.34 – $132.12
St. Anthony Hospital Gig Harbor $44.65 $17.34 – $110.10
St. Joseph Medical Center Tacoma $48.62 $17.34 – $110.10
St. Elizabeth Hospital Enumclaw $51.88 $17.34 – $132.12
Virginia Mason Medical Center Seattle $49.98 $12.14 – $54.20
St. Francis Hospital Federal Way $46.07 $17.34 – $110.10
St. Clare Hospital Lakewood $42.32 $17.34 – $110.10

All Washington hospitals for this procedure →