In situ hybridization per specimen initial single probe stain at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$239.68
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.
$543.05
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.
$199.71 with Kaiser 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $199.71 | ↓ -17% |
| CHPW | Medicare|All Plans | $199.71 | ↓ -17% |
| Optum | Medicare|All Plans | $201.71 | ↓ -16% |
| Wellcare | Medicare|All Plans | $202.19 | ↓ -16% |
| BCBS - Regence | Medicare|All Plans | $205.70 | ↓ -14% |
| Aetna | Medicare|All Plans | $205.70 | ↓ -14% |
| BCBS - Premera | Medicare|All Plans | $205.70 | ↓ -14% |
| Humana | Medicare|All Plans | $213.69 | ↓ -11% |
| United | Medicare|All Plans | $215.69 | ↓ -10% |
| Molina | Medicare|All Plans | $215.69 | ↓ -10% |
| Cigna | Commercial|All Plans | $294.23 | ↑ +23% |
| Aetna | Commercial|AWH | $317.58 | ↑ +33% |
| Aetna | Commercial|Sound Health | $336.26 | ↑ +40% |
| First Choice | Commercial|All Plans | $340.93 | ↑ +42% |
| Aetna | Commercial|WEA | $373.62 | ↑ +56% |
| Aetna | Commercial|All Other Plans | $373.62 | ↑ +56% |
| United | Commercial|Cascade Care | $382.96 | ↑ +60% |
| United | Commercial|All Other Plans | $382.96 | ↑ +60% |
| Sound Family Medicine | Commercial|All Plans | $399.42 | ↑ +67% |
| Aetna | Commercial|Rental | $410.98 | ↑ +71% |
| MultiPlan | Commercial|All Plans | $420.32 | ↑ +75% |
| Molina | Commercial|Marketplace Exchange | $459.33 | ↑ +92% |
| Coordinated Care | Commercial|Ambetter Exchange | $467.32 | ↑ +95% |
| Uniform Medical Plan | Commercial|All Plans | $472.34 | ↑ +97% |
| BCBS - Regence | Commercial|All Plans | $543.05 | ↑ +127% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $670.76 | ↑ +180% |
| Kaiser | Commercial|All Plans | $741.12 | ↑ +209% |
| BCBS - Premera | Commercial|All Other Plans | $741.20 | ↑ +209% |
Visitor-reported prices
Comments
In situ hybridization per specimen initial single probe stain at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $308.70 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $228.00 | $197.29 – $674.45 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $298.20 | $189.85 – $516.60 |
| Swedish Medical Center Cherry Hill | Seattle | $228.00 | $197.29 – $652.93 |
| Swedish Issaquah | Issaquah | $228.00 | $197.84 – $674.45 |
| Central Medical Center | Seattle | $716.80 | $662.00 – $662.00 |
| Providence Centralia Hospital | Centralia | $282.88 | $197.29 – $894.01 |
| Providence Mount Carmel Hospital | Colville | $205.10 | not published |