Infectious agent nucleic acid quantification hiv-1 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

$343.87

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.

$779.13

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.

$85.10 with Kaiser vs $701.22 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 $85.10 ↓ -75%
CHPW Medicare|All Plans $85.10 ↓ -75%
BCBS - Regence Medicare|All Plans $85.10 ↓ -75%
Optum Medicare|All Plans $85.95 ↓ -75%
BCBS - Premera Medicare|All Plans $87.65 ↓ -75%
Aetna Medicare|All Plans $87.65 ↓ -75%
BCBS - Regence Commercial|All Plans $89.36 ↓ -74%
Humana Medicare|All Plans $91.06 ↓ -74%
Wellcare Medicare|All Plans $91.91 ↓ -73%
Molina Medicare|All Plans $91.91 ↓ -73%
United Medicare|All Plans $91.91 ↓ -73%
Uniform Medical Plan Commercial|All Plans $127.65 ↓ -63%
BCBS - Premera Commercial|All Other Plans $148.93 ↓ -57%
Sound Family Medicine Commercial|All Plans $170.20 ↓ -51%
Molina Commercial|Marketplace Exchange $195.73 ↓ -43%
Coordinated Care Commercial|Ambetter Exchange $199.13 ↓ -42%
BCBS - Premera Commercial|LifeWise Primary Exchange $216.15 ↓ -37%
Cigna Commercial|All Plans $273.16 ↓ -21%
Aetna Commercial|AWH $529.81 ↑ +54%
Aetna Commercial|Sound Health $560.98 ↑ +63%
First Choice Commercial|All Plans $568.77 ↑ +65%
Aetna Commercial|All Other Plans $623.31 ↑ +81%
Aetna Commercial|WEA $623.31 ↑ +81%
United Commercial|Cascade Care $638.89 ↑ +86%
United Commercial|All Other Plans $638.89 ↑ +86%
Aetna Commercial|Rental $685.64 ↑ +99%
MultiPlan Commercial|All Plans $701.22 ↑ +104%

Visitor-reported prices

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Infectious agent nucleic acid quantification hiv-1 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $201.60 $85.10 – $93.61
Providence St Joseph Hospital Chewelah $445.20 not published
Swedish Medical Center - First Hill Campus Seattle $537.60 $76.59 – $399.97
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,124.90 $85.10 – $306.36
Swedish Medical Center Cherry Hill Seattle $537.60 $76.59 – $387.21
Swedish Issaquah Issaquah $537.60 $76.59 – $399.97
Central Medical Center Seattle $691.20 $64.00 – $64.00
Providence Centralia Hospital Centralia $597.48 $85.10 – $530.17

All Washington hospitals for this procedure →