Biotinidase - quest at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$57.18
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.
$129.55
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.
$16.87 with Kaiser vs $116.60 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 | $16.87 | ↓ -70% |
| CHPW | Medicare|All Plans | $16.87 | ↓ -70% |
| BCBS - Regence | Medicare|All Plans | $16.87 | ↓ -70% |
| Optum | Medicare|All Plans | $17.04 | ↓ -70% |
| BCBS - Premera | Medicare|All Plans | $17.38 | ↓ -70% |
| Aetna | Medicare|All Plans | $17.38 | ↓ -70% |
| BCBS - Regence | Commercial|All Plans | $17.71 | ↓ -69% |
| Humana | Medicare|All Plans | $18.05 | ↓ -68% |
| Wellcare | Medicare|All Plans | $18.22 | ↓ -68% |
| Molina | Medicare|All Plans | $18.22 | ↓ -68% |
| United | Medicare|All Plans | $18.22 | ↓ -68% |
| Uniform Medical Plan | Commercial|All Plans | $25.31 | ↓ -56% |
| BCBS - Premera | Commercial|All Other Plans | $29.52 | ↓ -48% |
| Sound Family Medicine | Commercial|All Plans | $33.74 | ↓ -41% |
| Molina | Commercial|Marketplace Exchange | $38.80 | ↓ -32% |
| Coordinated Care | Commercial|Ambetter Exchange | $39.48 | ↓ -31% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $42.85 | ↓ -25% |
| Cigna | Commercial|All Plans | $54.16 | ↓ -5% |
| Aetna | Commercial|AWH | $88.10 | ↑ +54% |
| Aetna | Commercial|Sound Health | $93.28 | ↑ +63% |
| First Choice | Commercial|All Plans | $94.58 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $103.64 | ↑ +81% |
| Aetna | Commercial|WEA | $103.64 | ↑ +81% |
| United | Commercial|Cascade Care | $106.24 | ↑ +86% |
| United | Commercial|All Other Plans | $106.24 | ↑ +86% |
| Aetna | Commercial|Rental | $114.01 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $116.60 | ↑ +104% |
Visitor-reported prices
Comments
Biotinidase - quest at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $76.00 | $13.00 – $13.00 |
| Providence Mount Carmel Hospital | Colville | $26.60 | not published |
| Kadlec Regional Medical Center | Richland | $142.80 | $16.87 – $65.96 |
| MultiCare Valley Hospital | Spokane Valley | $74.40 | $8.25 – $30.59 |
| St. Anne Hospital | Burien | $39.56 | $16.87 – $116.60 |
| St. Anthony Hospital | Gig Harbor | $39.41 | $16.87 – $97.17 |
| MultiCare Auburn Medical Center | Auburn | $41.60 | $8.43 – $33.07 |
| MultiCare Good Samaritan Hospital | Puyallup | $41.60 | $8.63 – $33.07 |