Smear fluorescent and/or acid fast stain at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$63.55
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.
$143.97
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.
$5.39 with Kaiser vs $129.58 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 →
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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 | $5.39 | ↓ -92% |
| CHPW | Medicare|All Plans | $5.39 | ↓ -92% |
| BCBS - Regence | Medicare|All Plans | $5.39 | ↓ -92% |
| Optum | Medicare|All Plans | $5.44 | ↓ -91% |
| BCBS - Premera | Medicare|All Plans | $5.55 | ↓ -91% |
| Aetna | Medicare|All Plans | $5.55 | ↓ -91% |
| BCBS - Regence | Commercial|All Plans | $5.66 | ↓ -91% |
| Humana | Medicare|All Plans | $5.77 | ↓ -91% |
| United | Medicare|All Plans | $5.82 | ↓ -91% |
| Wellcare | Medicare|All Plans | $5.82 | ↓ -91% |
| Molina | Medicare|All Plans | $5.82 | ↓ -91% |
| Uniform Medical Plan | Commercial|All Plans | $8.09 | ↓ -87% |
| BCBS - Premera | Commercial|All Other Plans | $9.43 | ↓ -85% |
| Sound Family Medicine | Commercial|All Plans | $10.78 | ↓ -83% |
| Molina | Commercial|Marketplace Exchange | $12.40 | ↓ -80% |
| Coordinated Care | Commercial|Ambetter Exchange | $12.61 | ↓ -80% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $13.69 | ↓ -78% |
| Cigna | Commercial|All Plans | $17.28 | ↓ -73% |
| Aetna | Commercial|AWH | $97.90 | ↑ +54% |
| Aetna | Commercial|Sound Health | $103.66 | ↑ +63% |
| First Choice | Commercial|All Plans | $105.10 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $115.18 | ↑ +81% |
| Aetna | Commercial|WEA | $115.18 | ↑ +81% |
| United | Commercial|All Other Plans | $118.06 | ↑ +86% |
| United | Commercial|Cascade Care | $118.06 | ↑ +86% |
| Aetna | Commercial|Rental | $126.70 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $129.58 | ↑ +104% |
Visitor-reported prices
Comments
Smear fluorescent and/or acid fast stain at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $101.43 | $5.39 – $5.93 |
| Providence St Joseph Hospital | Chewelah | $164.50 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $34.08 | $4.85 – $25.33 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $144.90 | $5.39 – $19.40 |
| Swedish Medical Center Cherry Hill | Seattle | $34.08 | $4.85 – $24.52 |
| Swedish Issaquah | Issaquah | $34.08 | $4.85 – $25.33 |
| Central Medical Center | Seattle | $62.40 | $4.00 – $4.00 |
| Providence Centralia Hospital | Centralia | $64.48 | $5.39 – $33.58 |