(both sides) smear without diff wbc count at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$24.46
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.
$55.40
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.
$3.43 with Kaiser vs $49.86 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 | $3.43 | ↓ -86% |
| CHPW | Medicare|All Plans | $3.43 | ↓ -86% |
| BCBS - Regence | Medicare|All Plans | $3.43 | ↓ -86% |
| Optum | Medicare|All Plans | $3.46 | ↓ -86% |
| BCBS - Premera | Medicare|All Plans | $3.53 | ↓ -86% |
| Aetna | Medicare|All Plans | $3.53 | ↓ -86% |
| BCBS - Regence | Commercial|All Plans | $3.60 | ↓ -85% |
| Humana | Medicare|All Plans | $3.67 | ↓ -85% |
| Wellcare | Medicare|All Plans | $3.70 | ↓ -85% |
| Molina | Medicare|All Plans | $3.70 | ↓ -85% |
| United | Medicare|All Plans | $3.70 | ↓ -85% |
| Uniform Medical Plan | Commercial|All Plans | $5.15 | ↓ -79% |
| BCBS - Premera | Commercial|All Other Plans | $6.00 | ↓ -75% |
| Sound Family Medicine | Commercial|All Plans | $6.86 | ↓ -72% |
| Molina | Commercial|Marketplace Exchange | $7.89 | ↓ -68% |
| Coordinated Care | Commercial|Ambetter Exchange | $8.03 | ↓ -67% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $8.71 | ↓ -64% |
| Cigna | Commercial|All Plans | $11.04 | ↓ -55% |
| Aetna | Commercial|AWH | $37.68 | ↑ +54% |
| Aetna | Commercial|Sound Health | $39.89 | ↑ +63% |
| First Choice | Commercial|All Plans | $40.45 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $44.32 | ↑ +81% |
| Aetna | Commercial|WEA | $44.32 | ↑ +81% |
| United | Commercial|Cascade Care | $45.43 | ↑ +86% |
| United | Commercial|All Other Plans | $45.43 | ↑ +86% |
| Aetna | Commercial|Rental | $48.76 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $49.86 | ↑ +104% |
Visitor-reported prices
Comments
(both sides) smear without diff wbc count at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $18.90 | $3.43 – $3.77 |
| Providence St Joseph Hospital | Chewelah | $35.00 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $22.56 | $3.09 – $16.12 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $21.00 | $3.43 – $12.35 |
| Swedish Medical Center Cherry Hill | Seattle | $22.56 | $3.09 – $15.61 |
| Swedish Issaquah | Issaquah | $22.56 | $3.09 – $16.12 |
| Central Medical Center | Seattle | $15.20 | $3.00 – $3.00 |
| Providence Mount Carmel Hospital | Colville | $9.80 | not published |