Bckdhb gene 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

$74.03

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.

Full explanation →

What you pay up front if you don't use insurance.

$167.73

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.

$94.99 with BCBS - Regence vs $447.69 with Kaiser — 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
BCBS - Regence Medicare|All Plans $94.99 ↑ +28%
Kaiser Medicare|All Plans $94.99 ↑ +28%
CHPW Medicare|All Plans $94.99 ↑ +28%
Optum Medicare|All Plans $95.94 ↑ +30%
BCBS - Premera Medicare|All Plans $97.84 ↑ +32%
Aetna Medicare|All Plans $97.84 ↑ +32%
BCBS - Regence Commercial|All Plans $99.74 ↑ +35%
Humana Medicare|All Plans $101.64 ↑ +37%
Wellcare Medicare|All Plans $102.59 ↑ +39%
United Medicare|All Plans $102.59 ↑ +39%
Molina Medicare|All Plans $102.59 ↑ +39%
Cigna Commercial|All Plans $105.67 ↑ +43%
Aetna Commercial|AWH $114.06 ↑ +54%
Aetna Commercial|Sound Health $120.77 ↑ +63%
First Choice Commercial|All Plans $122.45 ↑ +65%
Aetna Commercial|WEA $134.19 ↑ +81%
Aetna Commercial|All Other Plans $134.19 ↑ +81%
United Commercial|Cascade Care $137.54 ↑ +86%
United Commercial|All Other Plans $137.54 ↑ +86%
Uniform Medical Plan Commercial|All Plans $142.49 ↑ +92%
Aetna Commercial|Rental $147.61 ↑ +99%
MultiPlan Commercial|All Plans $150.96 ↑ +104%
BCBS - Premera Commercial|All Other Plans $166.23 ↑ +125%
BCBS - Premera Commercial|LifeWise Primary Exchange $167.73 ↑ +127%
Sound Family Medicine Commercial|All Plans $189.98 ↑ +157%
Molina Commercial|Marketplace Exchange $218.48 ↑ +195%
Coordinated Care Commercial|Ambetter Exchange $222.28 ↑ +200%
Kaiser Commercial|All Plans $447.69 ↑ +505%

Visitor-reported prices

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Bckdhb gene at other Washington hospitals

Hospital City Cash price Negotiated range
St. Anne Hospital Burien $51.22 $72.13 – $188.08
St. Anthony Hospital Gig Harbor $51.02 $94.99 – $188.08
St. Joseph Medical Center Tacoma $55.56 $94.99 – $189.98
St. Elizabeth Hospital Enumclaw $59.27 $28.52 – $180.48
Virginia Mason Medical Center Seattle $144.33 $66.49 – $296.91
St. Francis Hospital Federal Way $52.64 $94.99 – $188.08
St. Clare Hospital Lakewood $48.35 $94.99 – $188.08
Providence St Luke's Rehabilitation Medical Center Spokane not published $94.99 – $104.49

All Washington hospitals for this procedure →