Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit 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

$14,873.43

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.

$33,700.00

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.

$4.91 with Uniform Medical Plan vs $4,741.20 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
Uniform Medical Plan Commercial|All Plans $4.91 ↓ -100%
BCBS - Regence Commercial|All Plans $4.91 ↓ -100%
Kaiser Medicare|All Plans $5.23 ↓ -100%
CHPW Medicare|All Plans $5.23 ↓ -100%
Optum Medicare|All Plans $5.28 ↓ -100%
BCBS - Premera Medicare|All Plans $5.39 ↓ -100%
Aetna Medicare|All Plans $5.39 ↓ -100%
BCBS - Regence Medicare|All Plans $5.39 ↓ -100%
Humana Medicare|All Plans $5.60 ↓ -100%
Molina Medicare|All Plans $5.65 ↓ -100%
United Medicare|All Plans $5.65 ↓ -100%
Wellcare Medicare|All Plans $5.78 ↓ -100%
Aetna Commercial|All Other Plans $8.91 ↓ -100%
Aetna Commercial|AWH $8.91 ↓ -100%
Aetna Commercial|Sound Health $9.80 ↓ -100%
Molina Commercial|Marketplace Exchange $10.44 ↓ -100%
Sound Family Medicine Commercial|All Plans $10.46 ↓ -100%
Coordinated Care Commercial|Ambetter Exchange $12.24 ↓ -100%
BCBS - Premera Commercial|LifeWise Primary Exchange $15.57 ↓ -100%
Aetna Commercial|WEA $16.28 ↓ -100%
BCBS - Premera Commercial|All Other Plans $16.86 ↓ -100%
Kaiser Commercial|All Plans $21.93 ↓ -100%
Cigna Commercial|All Plans $32.52 ↓ -100%
First Choice Commercial|All Plans $3,845.64 ↓ -74%
United Commercial|All Other Plans $4,319.76 ↓ -71%
United Commercial|Cascade Care $4,319.76 ↓ -71%
Aetna Commercial|Rental $4,635.84 ↓ -69%
MultiPlan Commercial|All Plans $4,741.20 ↓ -68%

Visitor-reported prices

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Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Centralia Hospital Centralia $16,420.53 $3.79 – $25.57
Providence Mount Carmel Hospital Colville $13,638.94 not published
Providence St Mary Medical Center Walla Walla $14,675.23 $3.79 – $27.53
Providence Regional Medical Center Everett - Colby Campus Everett $11,739.18 $3.79 – $19.18
St. Anne Hospital Burien $10,290.49 $2,265.24 – $4,741.20
St. Anthony Hospital Gig Harbor $10,249.82 $14.91 – $3,951.00
St. Joseph Medical Center Tacoma $11,161.36 $14.91 – $3,951.00
St. Elizabeth Hospital Enumclaw $11,908.38 $5.93 – $4,741.20

All Washington hospitals for this procedure →