Str markers specimen anal 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

$628.43

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.

$1,423.88

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.

$233.07 with CHPW vs $1,281.50 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
CHPW Medicare|All Plans $233.07 ↓ -63%
Kaiser Medicare|All Plans $233.07 ↓ -63%
BCBS - Regence Medicare|All Plans $233.07 ↓ -63%
Optum Medicare|All Plans $235.40 ↓ -63%
BCBS - Premera Medicare|All Plans $240.06 ↓ -62%
Aetna Medicare|All Plans $240.06 ↓ -62%
BCBS - Regence Commercial|All Plans $244.72 ↓ -61%
Humana Medicare|All Plans $249.38 ↓ -60%
Molina Medicare|All Plans $251.72 ↓ -60%
Wellcare Medicare|All Plans $251.72 ↓ -60%
United Medicare|All Plans $251.72 ↓ -60%
Uniform Medical Plan Commercial|All Plans $349.61 ↓ -44%
BCBS - Premera Commercial|All Other Plans $407.87 ↓ -35%
Sound Family Medicine Commercial|All Plans $466.14 ↓ -26%
Molina Commercial|Marketplace Exchange $536.06 ↓ -15%
Coordinated Care Commercial|Ambetter Exchange $545.38 ↓ -13%
BCBS - Premera Commercial|LifeWise Primary Exchange $592.00 ↓ -6%
Cigna Commercial|All Plans $690.28 ↑ +10%
Aetna Commercial|AWH $968.24 ↑ +54%
Aetna Commercial|Sound Health $1,025.20 ↑ +63%
First Choice Commercial|All Plans $1,039.44 ↑ +65%
Kaiser Commercial|All Plans $1,098.46 ↑ +75%
Aetna Commercial|WEA $1,139.11 ↑ +81%
Aetna Commercial|All Other Plans $1,139.11 ↑ +81%
United Commercial|All Other Plans $1,167.59 ↑ +86%
United Commercial|Cascade Care $1,167.59 ↑ +86%
Aetna Commercial|Rental $1,253.02 ↑ +99%
MultiPlan Commercial|All Plans $1,281.50 ↑ +104%

Visitor-reported prices

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Str markers specimen anal at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $811.20 $209.76 – $708.07
Swedish Medical Center Cherry Hill Seattle $811.20 $209.76 – $699.21
Swedish Issaquah Issaquah $811.20 $209.76 – $517.42
Swedish Edmonds Hospital Edmonds $811.20 $233.07 – $932.28
Providence St Mary Medical Center Walla Walla $534.80 $233.07 – $431.18
Providence Regional Medical Center Everett - Colby Campus Everett $878.80 $233.07 – $540.72
MultiCare Valley Hospital Spokane Valley $950.40 $233.07 – $422.56
MultiCare Yakima Memorial Hospital Yakima $372.80 $232.98 – $426.52

All Washington hospitals for this procedure →