Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$9,453.68
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.
$21,420.00
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.
$5.31 with BCBS - Regence vs $19,278.00 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 |
|---|---|---|---|
| BCBS - Regence | Commercial|All Plans | $5.31 | ↓ -100% |
| Uniform Medical Plan | Commercial|All Plans | $5.31 | ↓ -100% |
| CHPW | Medicare|All Plans | $6.04 | ↓ -100% |
| Kaiser | Medicare|All Plans | $6.04 | ↓ -100% |
| Optum | Medicare|All Plans | $6.10 | ↓ -100% |
| Wellcare | Medicare|All Plans | $6.13 | ↓ -100% |
| BCBS - Premera | Medicare|All Plans | $6.22 | ↓ -100% |
| Aetna | Medicare|All Plans | $6.22 | ↓ -100% |
| BCBS - Regence | Medicare|All Plans | $6.22 | ↓ -100% |
| Humana | Medicare|All Plans | $6.46 | ↓ -100% |
| Molina | Medicare|All Plans | $6.52 | ↓ -100% |
| United | Medicare|All Plans | $6.52 | ↓ -100% |
| Aetna | Commercial|WEA | $8.92 | ↓ -100% |
| Aetna | Commercial|Sound Health | $9.61 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $9.66 | ↓ -100% |
| Aetna | Commercial|AWH | $9.66 | ↓ -100% |
| Sound Family Medicine | Commercial|All Plans | $12.08 | ↓ -100% |
| Molina | Commercial|Marketplace Exchange | $13.64 | ↓ -100% |
| Coordinated Care | Commercial|Ambetter Exchange | $14.13 | ↓ -100% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $15.78 | ↓ -100% |
| BCBS - Premera | Commercial|All Other Plans | $17.09 | ↓ -100% |
| Cigna | Commercial|All Plans | $17.84 | ↓ -100% |
| Kaiser | Commercial|All Plans | $21.09 | ↓ -100% |
| First Choice | Commercial|All Plans | $15,636.60 | ↑ +65% |
| United | Commercial|Cascade Care | $17,564.40 | ↑ +86% |
| United | Commercial|All Other Plans | $17,564.40 | ↑ +86% |
| Aetna | Commercial|Rental | $18,849.60 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $19,278.00 | ↑ +104% |
Visitor-reported prices
Comments
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MultiCare Yakima Memorial Hospital | Yakima | $10.46 | $5.14 – $9.84 |
| MultiCare Covington Medical Center | Covington | $7.50 | $4.65 – $1,244.00 |
| MultiCare Allenmore Hospital | Tacoma | $7.45 | $4.65 – $1,273.26 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $5.14 – $5.66 |
| Providence St Mary Medical Center | Walla Walla | not published | $4.83 – $29.89 |
| MultiCare Valley Hospital | Spokane Valley | not published | $5.19 – $1,137.14 |
| MultiCare Auburn Medical Center | Auburn | not published | $4.65 – $1,244.00 |
| MultiCare Good Samaritan Hospital | Puyallup | not published | $5.04 – $1,272.76 |