Lymphocyte transformation mitogen 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

$182.89

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.

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What you pay up front if you don't use insurance.

$414.37

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.

$49.03 with Kaiser vs $372.94 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 $49.03 ↓ -73%
CHPW Medicare|All Plans $49.03 ↓ -73%
BCBS - Regence Medicare|All Plans $49.03 ↓ -73%
Optum Medicare|All Plans $49.52 ↓ -73%
BCBS - Premera Medicare|All Plans $50.50 ↓ -72%
Aetna Medicare|All Plans $50.50 ↓ -72%
BCBS - Regence Commercial|All Plans $51.48 ↓ -72%
Humana Medicare|All Plans $52.46 ↓ -71%
Wellcare Medicare|All Plans $52.95 ↓ -71%
Molina Medicare|All Plans $52.95 ↓ -71%
United Medicare|All Plans $52.95 ↓ -71%
Uniform Medical Plan Commercial|All Plans $73.55 ↓ -60%
BCBS - Premera Commercial|All Other Plans $85.80 ↓ -53%
Sound Family Medicine Commercial|All Plans $98.06 ↓ -46%
Molina Commercial|Marketplace Exchange $112.77 ↓ -38%
Coordinated Care Commercial|Ambetter Exchange $114.73 ↓ -37%
BCBS - Premera Commercial|LifeWise Primary Exchange $124.54 ↓ -32%
Cigna Commercial|All Plans $157.36 ↓ -14%
Aetna Commercial|AWH $281.78 ↑ +54%
Aetna Commercial|Sound Health $298.35 ↑ +63%
First Choice Commercial|All Plans $302.50 ↑ +65%
Aetna Commercial|All Other Plans $331.50 ↑ +81%
Aetna Commercial|WEA $331.50 ↑ +81%
United Commercial|Cascade Care $339.79 ↑ +86%
United Commercial|All Other Plans $339.79 ↑ +86%
Aetna Commercial|Rental $364.65 ↑ +99%
MultiPlan Commercial|All Plans $372.94 ↑ +104%

Visitor-reported prices

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Lymphocyte transformation mitogen at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $170.80 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $438.90 $49.03 – $176.51
Central Medical Center Seattle $220.80 $37.00 – $37.00
Providence Mount Carmel Hospital Colville $248.50 not published
Providence St Mary Medical Center Walla Walla $135.80 $49.03 – $90.71
Providence Holy Family Hospital Spokane $257.60 $49.03 – $209.25
MultiCare Valley Hospital Spokane Valley $30.40 $20.55 – $88.89
St. Anne Hospital Burien $126.54 $49.03 – $372.94

All Washington hospitals for this procedure →