Blood split unit 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

$239.37

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.

$542.36

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.

$165.26 with CHPW vs $678.95 with BCBS - Premera — 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
CHPW Medicare|All Plans $165.26 ↓ -31%
Kaiser Medicare|All Plans $165.26 ↓ -31%
Optum Medicare|All Plans $166.91 ↓ -30%
BCBS - Regence Medicare|All Plans $170.22 ↓ -29%
Aetna Medicare|All Plans $170.22 ↓ -29%
BCBS - Premera Medicare|All Plans $170.22 ↓ -29%
Humana Medicare|All Plans $176.83 ↓ -26%
United Medicare|All Plans $178.48 ↓ -25%
Molina Medicare|All Plans $178.48 ↓ -25%
Wellcare Medicare|All Plans $185.20 ↓ -23%
Sound Family Medicine Commercial|All Plans $330.52 ↑ +38%
Cigna Commercial|All Plans $341.69 ↑ +43%
Aetna Commercial|AWH $368.81 ↑ +54%
Molina Commercial|Marketplace Exchange $380.10 ↑ +59%
Coordinated Care Commercial|Ambetter Exchange $386.71 ↑ +62%
Aetna Commercial|Sound Health $390.50 ↑ +63%
First Choice Commercial|All Plans $395.93 ↑ +65%
Uniform Medical Plan Commercial|All Plans $432.66 ↑ +81%
Aetna Commercial|WEA $433.89 ↑ +81%
Aetna Commercial|All Other Plans $433.89 ↑ +81%
United Commercial|Cascade Care $444.74 ↑ +86%
United Commercial|All Other Plans $444.74 ↑ +86%
Aetna Commercial|Rental $477.28 ↑ +99%
MultiPlan Commercial|All Plans $488.13 ↑ +104%
BCBS - Regence Commercial|All Plans $497.43 ↑ +108%
BCBS - Premera Commercial|LifeWise Primary Exchange $614.43 ↑ +157%
Kaiser Commercial|All Plans $655.34 ↑ +174%
BCBS - Premera Commercial|All Other Plans $678.95 ↑ +184%

Visitor-reported prices

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Blood split unit at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $314.30 $155.84 – $171.42
Swedish Medical Center - First Hill Campus Seattle $81.12 $155.84 – $598.44
Providence Sacred Heart Medical Center and Children's Hospital Spokane $314.30 $155.84 – $484.13
Swedish Medical Center Cherry Hill Seattle $81.12 $155.84 – $564.82
Swedish Issaquah Issaquah $81.12 $155.84 – $598.44
Central Medical Center Seattle $80.00 not published
Kadlec Regional Medical Center Richland $511.70 $155.84 – $525.82
Providence Holy Family Hospital Spokane $334.60 $155.84 – $409.08

All Washington hospitals for this procedure →