Ghs ppd (tb intradermal) 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

$28.61

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.

$64.81

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.

$21.52 with Cigna vs $129.22 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 →

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
Cigna Commercial|All Plans $21.52 ↓ -25%
Kaiser Medicare|All Plans $28.54 ↓ -0%
CHPW Medicare|All Plans $28.54 ↓ -0%
Optum Medicare|All Plans $28.83 ↑ +1%
BCBS - Regence Medicare|All Plans $29.40 ↑ +3%
Aetna Medicare|All Plans $29.40 ↑ +3%
BCBS - Premera Medicare|All Plans $29.40 ↑ +3%
Humana Medicare|All Plans $30.54 ↑ +7%
United Medicare|All Plans $30.82 ↑ +8%
Molina Medicare|All Plans $30.82 ↑ +8%
Wellcare Medicare|All Plans $35.25 ↑ +23%
Aetna Commercial|AWH $44.08 ↑ +54%
Aetna Commercial|Sound Health $46.67 ↑ +63%
First Choice Commercial|All Plans $47.32 ↑ +65%
Aetna Commercial|WEA $51.85 ↑ +81%
Aetna Commercial|All Other Plans $51.85 ↑ +81%
United Commercial|Cascade Care $53.15 ↑ +86%
United Commercial|All Other Plans $53.15 ↑ +86%
Aetna Commercial|Rental $57.04 ↑ +99%
Sound Family Medicine Commercial|All Plans $57.08 ↑ +100%
MultiPlan Commercial|All Plans $58.33 ↑ +104%
Molina Commercial|Marketplace Exchange $65.64 ↑ +129%
Coordinated Care Commercial|Ambetter Exchange $66.78 ↑ +133%
Uniform Medical Plan Commercial|All Plans $82.34 ↑ +188%
BCBS - Regence Commercial|All Plans $94.67 ↑ +231%
BCBS - Premera Commercial|LifeWise Primary Exchange $116.94 ↑ +309%
Kaiser Commercial|All Plans $117.64 ↑ +311%
BCBS - Premera Commercial|All Other Plans $129.22 ↑ +352%

Visitor-reported prices

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Ghs ppd (tb intradermal) at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $141.40 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $251.30 $21.78 – $82.76
Central Medical Center Seattle $71.20 $25.00 – $25.00
Providence Mount Carmel Hospital Colville $48.30 not published
Providence Holy Family Hospital Spokane $221.90 $21.78 – $84.61
MultiCare Valley Hospital Spokane Valley $9.60 $7.07 – $111.07
MultiCare Yakima Memorial Hospital Yakima $34.80 $34.51 – $92.68
St. Anne Hospital Burien $19.80 $12.16 – $58.33

All Washington hospitals for this procedure →