Tpmt gene com vrnts 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

$218.90

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.

$495.98

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.

$174.81 with CHPW vs $823.88 with Kaiser — 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 $174.81 ↓ -20%
Kaiser Medicare|All Plans $174.81 ↓ -20%
BCBS - Regence Medicare|All Plans $174.81 ↓ -20%
Optum Medicare|All Plans $176.56 ↓ -19%
BCBS - Premera Medicare|All Plans $180.05 ↓ -18%
Aetna Medicare|All Plans $180.05 ↓ -18%
BCBS - Regence Commercial|All Plans $183.55 ↓ -16%
Humana Medicare|All Plans $187.05 ↓ -15%
Molina Medicare|All Plans $188.79 ↓ -14%
Wellcare Medicare|All Plans $188.79 ↓ -14%
United Medicare|All Plans $188.79 ↓ -14%
Uniform Medical Plan Commercial|All Plans $262.22 ↑ +20%
BCBS - Premera Commercial|All Other Plans $305.92 ↑ +40%
Cigna Commercial|All Plans $312.47 ↑ +43%
Aetna Commercial|AWH $337.27 ↑ +54%
Sound Family Medicine Commercial|All Plans $349.62 ↑ +60%
Aetna Commercial|Sound Health $357.11 ↑ +63%
First Choice Commercial|All Plans $362.07 ↑ +65%
Aetna Commercial|WEA $396.79 ↑ +81%
Aetna Commercial|All Other Plans $396.79 ↑ +81%
Molina Commercial|Marketplace Exchange $402.06 ↑ +84%
United Commercial|All Other Plans $406.71 ↑ +86%
United Commercial|Cascade Care $406.71 ↑ +86%
Coordinated Care Commercial|Ambetter Exchange $409.06 ↑ +87%
Aetna Commercial|Rental $436.47 ↑ +99%
BCBS - Premera Commercial|LifeWise Primary Exchange $444.02 ↑ +103%
MultiPlan Commercial|All Plans $446.39 ↑ +104%
Kaiser Commercial|All Plans $823.88 ↑ +276%

Visitor-reported prices

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Tpmt gene com vrnts at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $483.84 $157.33 – $531.07
Swedish Medical Center Cherry Hill Seattle $483.84 $157.33 – $524.43
Swedish Issaquah Issaquah $483.84 $157.33 – $388.08
Providence St Mary Medical Center Walla Walla $532.00 $174.81 – $323.40
MultiCare Valley Hospital Spokane Valley $254.40 $80.58 – $316.93
MultiCare Yakima Memorial Hospital Yakima $192.80 $174.74 – $319.90
St. Anne Hospital Burien $151.46 $174.81 – $446.39
St. Anthony Hospital Gig Harbor $150.86 $174.81 – $371.99

All Washington hospitals for this procedure →