Borrelia burgdorferi (lyme disease) antibody nonspecific 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

$81.31

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.

$184.21

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.

$17.03 with Kaiser vs $165.79 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 $17.03 ↓ -79%
CHPW Medicare|All Plans $17.03 ↓ -79%
BCBS - Regence Medicare|All Plans $17.03 ↓ -79%
Optum Medicare|All Plans $17.20 ↓ -79%
BCBS - Premera Medicare|All Plans $17.54 ↓ -78%
Aetna Medicare|All Plans $17.54 ↓ -78%
BCBS - Regence Commercial|All Plans $17.88 ↓ -78%
Humana Medicare|All Plans $18.22 ↓ -78%
Wellcare Medicare|All Plans $18.39 ↓ -77%
Molina Medicare|All Plans $18.39 ↓ -77%
United Medicare|All Plans $18.39 ↓ -77%
Uniform Medical Plan Commercial|All Plans $25.55 ↓ -69%
BCBS - Premera Commercial|All Other Plans $29.80 ↓ -63%
Sound Family Medicine Commercial|All Plans $34.06 ↓ -58%
Molina Commercial|Marketplace Exchange $39.17 ↓ -52%
Coordinated Care Commercial|Ambetter Exchange $39.85 ↓ -51%
BCBS - Premera Commercial|LifeWise Primary Exchange $43.26 ↓ -47%
Cigna Commercial|All Plans $54.64 ↓ -33%
Aetna Commercial|AWH $125.27 ↑ +54%
Aetna Commercial|Sound Health $132.64 ↑ +63%
First Choice Commercial|All Plans $134.48 ↑ +65%
Aetna Commercial|All Other Plans $147.37 ↑ +81%
Aetna Commercial|WEA $147.37 ↑ +81%
United Commercial|Cascade Care $151.06 ↑ +86%
United Commercial|All Other Plans $151.06 ↑ +86%
Aetna Commercial|Rental $162.11 ↑ +99%
MultiPlan Commercial|All Plans $165.79 ↑ +104%

Visitor-reported prices

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Borrelia burgdorferi (lyme disease) antibody nonspecific at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $152.60 not published
Swedish Medical Center - First Hill Campus Seattle $89.28 $15.33 – $80.04
Providence Sacred Heart Medical Center and Children's Hospital Spokane $189.70 $17.03 – $61.31
Swedish Medical Center Cherry Hill Seattle $89.28 $15.33 – $77.49
Swedish Issaquah Issaquah $89.28 $15.33 – $80.04
Central Medical Center Seattle $116.00 $13.00 – $13.00
Providence Mount Carmel Hospital Colville $184.10 not published
Swedish Edmonds Hospital Edmonds $89.28 $17.03 – $76.64

All Washington hospitals for this procedure →