Protoporphyrin rbc screen 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

$67.75

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.

$153.49

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.

$9.74 with Kaiser vs $138.15 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 $9.74 ↓ -86%
CHPW Medicare|All Plans $9.74 ↓ -86%
BCBS - Regence Medicare|All Plans $9.74 ↓ -86%
Optum Medicare|All Plans $9.84 ↓ -85%
BCBS - Premera Medicare|All Plans $10.03 ↓ -85%
Aetna Medicare|All Plans $10.03 ↓ -85%
BCBS - Regence Commercial|All Plans $10.23 ↓ -85%
Humana Medicare|All Plans $10.42 ↓ -85%
Wellcare Medicare|All Plans $10.52 ↓ -84%
Molina Medicare|All Plans $10.52 ↓ -84%
United Medicare|All Plans $10.52 ↓ -84%
Uniform Medical Plan Commercial|All Plans $14.61 ↓ -78%
BCBS - Premera Commercial|All Other Plans $17.05 ↓ -75%
Sound Family Medicine Commercial|All Plans $19.48 ↓ -71%
Molina Commercial|Marketplace Exchange $22.40 ↓ -67%
Coordinated Care Commercial|Ambetter Exchange $22.79 ↓ -66%
BCBS - Premera Commercial|LifeWise Primary Exchange $24.74 ↓ -63%
Cigna Commercial|All Plans $27.64 ↓ -59%
Aetna Commercial|AWH $104.38 ↑ +54%
Aetna Commercial|Sound Health $110.52 ↑ +63%
First Choice Commercial|All Plans $112.05 ↑ +65%
Aetna Commercial|All Other Plans $122.80 ↑ +81%
Aetna Commercial|WEA $122.80 ↑ +81%
United Commercial|Cascade Care $125.87 ↑ +86%
United Commercial|All Other Plans $125.87 ↑ +86%
Aetna Commercial|Rental $135.08 ↑ +99%
MultiPlan Commercial|All Plans $138.15 ↑ +104%

Visitor-reported prices

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Protoporphyrin rbc screen at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $147.00 $9.74 – $35.06
Central Medical Center Seattle $44.00 $7.00 – $7.00
Kadlec Regional Medical Center Richland $93.80 $9.74 – $38.08
Providence Holy Family Hospital Spokane $90.30 $9.74 – $41.59
St. Anne Hospital Burien $46.87 $9.74 – $138.15
St. Anthony Hospital Gig Harbor $46.69 $9.74 – $115.12
St. Joseph Medical Center Tacoma $50.84 $9.74 – $115.12
St. Elizabeth Hospital Enumclaw $54.24 $9.74 – $138.15

All Washington hospitals for this procedure →