Coombs indirect titer reference at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$147.04
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.
$333.15
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.
$16.60 with Cigna vs $741.20 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 →
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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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $16.60 | ↓ -89% |
| Kaiser | Medicare|All Plans | $199.71 | ↑ +36% |
| CHPW | Medicare|All Plans | $199.71 | ↑ +36% |
| Optum | Medicare|All Plans | $201.71 | ↑ +37% |
| Wellcare | Medicare|All Plans | $202.19 | ↑ +38% |
| Aetna | Medicare|All Plans | $205.70 | ↑ +40% |
| BCBS - Regence | Medicare|All Plans | $205.70 | ↑ +40% |
| BCBS - Premera | Medicare|All Plans | $205.70 | ↑ +40% |
| Aetna | Commercial|AWH | $207.84 | ↑ +41% |
| Humana | Medicare|All Plans | $213.69 | ↑ +45% |
| Molina | Medicare|All Plans | $215.69 | ↑ +47% |
| United | Medicare|All Plans | $215.69 | ↑ +47% |
| Aetna | Commercial|Sound Health | $220.07 | ↑ +50% |
| First Choice | Commercial|All Plans | $223.12 | ↑ +52% |
| Aetna | Commercial|WEA | $244.52 | ↑ +66% |
| Aetna | Commercial|All Other Plans | $244.52 | ↑ +66% |
| United | Commercial|Cascade Care | $250.63 | ↑ +70% |
| United | Commercial|All Other Plans | $250.63 | ↑ +70% |
| Aetna | Commercial|Rental | $268.97 | ↑ +83% |
| MultiPlan | Commercial|All Plans | $275.08 | ↑ +87% |
| Sound Family Medicine | Commercial|All Plans | $399.42 | ↑ +172% |
| Molina | Commercial|Marketplace Exchange | $459.33 | ↑ +212% |
| Coordinated Care | Commercial|Ambetter Exchange | $467.32 | ↑ +218% |
| Uniform Medical Plan | Commercial|All Plans | $472.34 | ↑ +221% |
| BCBS - Regence | Commercial|All Plans | $543.05 | ↑ +269% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $670.76 | ↑ +356% |
| Kaiser | Commercial|All Plans | $741.12 | ↑ +404% |
| BCBS - Premera | Commercial|All Other Plans | $741.20 | ↑ +404% |
Visitor-reported prices
Comments
Coombs indirect titer reference at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $189.63 | $22.86 – $208.84 |
| Providence St Joseph Hospital | Chewelah | $100.80 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $59.04 | $10.11 – $674.45 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $242.20 | $11.12 – $516.60 |
| Swedish Medical Center Cherry Hill | Seattle | $59.04 | $10.11 – $652.93 |
| Swedish Issaquah | Issaquah | $59.04 | $10.11 – $674.45 |
| Central Medical Center | Seattle | $408.00 | $172.00 – $172.00 |
| Providence Mount Carmel Hospital | Colville | $66.50 | not published |