Osmolality blood 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

$71.94

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.

Full explanation →

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

$162.98

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6.61 with Kaiser vs $146.69 with MultiPlan — same scan, same building. Share

Negotiated rates by payer
?

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 $6.61 ↓ -91%
CHPW Medicare|All Plans $6.61 ↓ -91%
BCBS - Regence Medicare|All Plans $6.61 ↓ -91%
Optum Medicare|All Plans $6.68 ↓ -91%
BCBS - Premera Medicare|All Plans $6.81 ↓ -91%
Aetna Medicare|All Plans $6.81 ↓ -91%
BCBS - Regence Commercial|All Plans $6.94 ↓ -90%
Humana Medicare|All Plans $7.07 ↓ -90%
Wellcare Medicare|All Plans $7.14 ↓ -90%
Molina Medicare|All Plans $7.14 ↓ -90%
United Medicare|All Plans $7.14 ↓ -90%
Uniform Medical Plan Commercial|All Plans $9.92 ↓ -86%
BCBS - Premera Commercial|All Other Plans $11.57 ↓ -84%
Sound Family Medicine Commercial|All Plans $13.22 ↓ -82%
Molina Commercial|Marketplace Exchange $15.20 ↓ -79%
Coordinated Care Commercial|Ambetter Exchange $15.47 ↓ -78%
BCBS - Premera Commercial|LifeWise Primary Exchange $16.79 ↓ -77%
Cigna Commercial|All Plans $21.20 ↓ -71%
Aetna Commercial|AWH $110.83 ↑ +54%
Aetna Commercial|Sound Health $117.35 ↑ +63%
First Choice Commercial|All Plans $118.98 ↑ +65%
Aetna Commercial|All Other Plans $130.39 ↑ +81%
Aetna Commercial|WEA $130.39 ↑ +81%
United Commercial|Cascade Care $133.65 ↑ +86%
United Commercial|All Other Plans $133.65 ↑ +86%
Aetna Commercial|Rental $143.43 ↑ +99%
MultiPlan Commercial|All Plans $146.69 ↑ +104%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Osmolality blood at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $61.11 $6.61 – $7.27
Providence St Joseph Hospital Chewelah $81.90 not published
Swedish Medical Center - First Hill Campus Seattle $48.00 $5.95 – $31.07
Providence Sacred Heart Medical Center and Children's Hospital Spokane $185.50 $6.61 – $23.80
Swedish Medical Center Cherry Hill Seattle $48.00 $5.95 – $30.08
Swedish Issaquah Issaquah $48.00 $5.95 – $31.07
Central Medical Center Seattle $76.80 $6.00 – $6.00
Providence Centralia Hospital Centralia $75.92 $6.61 – $41.18

All Washington hospitals for this procedure →