Crystal identification light microscopy 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

$52.80

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.

$119.63

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.

$7.33 with Kaiser vs $107.67 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 $7.33 ↓ -86%
CHPW Medicare|All Plans $7.33 ↓ -86%
BCBS - Regence Medicare|All Plans $7.33 ↓ -86%
Optum Medicare|All Plans $7.40 ↓ -86%
BCBS - Premera Medicare|All Plans $7.55 ↓ -86%
Aetna Medicare|All Plans $7.55 ↓ -86%
BCBS - Regence Commercial|All Plans $7.70 ↓ -85%
Humana Medicare|All Plans $7.84 ↓ -85%
Wellcare Medicare|All Plans $7.92 ↓ -85%
Molina Medicare|All Plans $7.92 ↓ -85%
United Medicare|All Plans $7.92 ↓ -85%
Uniform Medical Plan Commercial|All Plans $11.00 ↓ -79%
BCBS - Premera Commercial|All Other Plans $12.83 ↓ -76%
Sound Family Medicine Commercial|All Plans $14.66 ↓ -72%
Molina Commercial|Marketplace Exchange $16.86 ↓ -68%
Coordinated Care Commercial|Ambetter Exchange $17.15 ↓ -68%
BCBS - Premera Commercial|LifeWise Primary Exchange $18.62 ↓ -65%
Cigna Commercial|All Plans $22.96 ↓ -57%
Aetna Commercial|AWH $81.35 ↑ +54%
Aetna Commercial|Sound Health $86.14 ↑ +63%
First Choice Commercial|All Plans $87.33 ↑ +65%
Aetna Commercial|All Other Plans $95.71 ↑ +81%
Aetna Commercial|WEA $95.71 ↑ +81%
United Commercial|Cascade Care $98.10 ↑ +86%
United Commercial|All Other Plans $98.10 ↑ +86%
Aetna Commercial|Rental $105.28 ↑ +99%
MultiPlan Commercial|All Plans $107.67 ↑ +104%

Visitor-reported prices

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Crystal identification light microscopy at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $101.43 $7.33 – $8.06
Providence St Joseph Hospital Chewelah $62.30 not published
Swedish Medical Center - First Hill Campus Seattle $39.36 $6.60 – $34.45
Providence Sacred Heart Medical Center and Children's Hospital Spokane $239.40 $7.33 – $26.39
Swedish Medical Center Cherry Hill Seattle $39.36 $6.60 – $33.35
Swedish Issaquah Issaquah $39.36 $6.60 – $34.45
Central Medical Center Seattle $88.00 $31.00 – $31.00
Providence Centralia Hospital Centralia $88.40 $7.33 – $45.67

All Washington hospitals for this procedure →