Chylomicron screen, bf - sendout 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

$371.64

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.

$842.04

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.

$61.50 with Kaiser vs $494.85 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 $61.50 ↓ -83%
CHPW Medicare|All Plans $61.50 ↓ -83%
BCBS - Regence Medicare|All Plans $61.50 ↓ -83%
Optum Medicare|All Plans $62.12 ↓ -83%
BCBS - Premera Medicare|All Plans $63.34 ↓ -83%
Aetna Medicare|All Plans $63.34 ↓ -83%
BCBS - Regence Commercial|All Plans $64.58 ↓ -83%
Humana Medicare|All Plans $65.81 ↓ -82%
Wellcare Medicare|All Plans $66.42 ↓ -82%
Molina Medicare|All Plans $66.42 ↓ -82%
United Medicare|All Plans $66.42 ↓ -82%
Uniform Medical Plan Commercial|All Plans $92.25 ↓ -75%
BCBS - Premera Commercial|All Other Plans $107.63 ↓ -71%
Sound Family Medicine Commercial|All Plans $123.00 ↓ -67%
Molina Commercial|Marketplace Exchange $141.45 ↓ -62%
Coordinated Care Commercial|Ambetter Exchange $143.91 ↓ -61%
BCBS - Premera Commercial|LifeWise Primary Exchange $156.21 ↓ -58%
Cigna Commercial|All Plans $159.92 ↓ -57%
Aetna Commercial|AWH $373.89 ↑ +1%
Aetna Commercial|Sound Health $395.88 ↑ +7%
First Choice Commercial|All Plans $401.38 ↑ +8%
Aetna Commercial|All Other Plans $439.87 ↑ +18%
Aetna Commercial|WEA $439.87 ↑ +18%
United Commercial|Cascade Care $450.87 ↑ +21%
United Commercial|All Other Plans $450.87 ↑ +21%
Aetna Commercial|Rental $483.86 ↑ +30%
MultiPlan Commercial|All Plans $494.85 ↑ +33%

Visitor-reported prices

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Chylomicron screen, bf - sendout at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $198.80 not published
Swedish Medical Center - First Hill Campus Seattle $268.32 $55.35 – $289.05
Providence Sacred Heart Medical Center and Children's Hospital Spokane $143.50 $61.50 – $221.40
Swedish Medical Center Cherry Hill Seattle $268.32 $55.35 – $279.83
Swedish Issaquah Issaquah $268.32 $55.35 – $289.05
Central Medical Center Seattle $276.80 $46.00 – $46.00
MultiCare Valley Hospital Spokane Valley $220.40 $21.69 – $111.50
St. Anne Hospital Burien $257.13 $61.50 – $494.85

All Washington hospitals for this procedure →