Dactinomycin 0.5 mg intravenous solution at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$1,465.96
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.
?
What you pay up front if you don't use insurance.
$3,321.55
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.
?
The hospital's undiscounted list price — almost no one pays this.
$350.51 with Wellcare vs $2,989.40 with MultiPlan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Wellcare | Medicare|All Plans | $350.51 | ↓ -76% |
| Kaiser | Medicare|All Plans | $353.03 | ↓ -76% |
| CHPW | Medicare|All Plans | $353.03 | ↓ -76% |
| Optum | Medicare|All Plans | $356.56 | ↓ -76% |
| BCBS - Premera | Medicare|All Plans | $363.62 | ↓ -75% |
| Aetna | Medicare|All Plans | $363.62 | ↓ -75% |
| BCBS - Regence | Medicare|All Plans | $363.62 | ↓ -75% |
| Humana | Medicare|All Plans | $377.74 | ↓ -74% |
| United | Medicare|All Plans | $381.27 | ↓ -74% |
| Molina | Medicare|All Plans | $381.27 | ↓ -74% |
| Uniform Medical Plan | Commercial|All Plans | $397.51 | ↓ -73% |
| BCBS - Regence | Commercial|All Plans | $397.51 | ↓ -73% |
| Sound Family Medicine | Commercial|All Plans | $706.06 | ↓ -52% |
| Aetna | Commercial|AWH | $795.03 | ↓ -46% |
| Aetna | Commercial|All Other Plans | $795.03 | ↓ -46% |
| Coordinated Care | Commercial|Ambetter Exchange | $826.09 | ↓ -44% |
| Molina | Commercial|Marketplace Exchange | $870.62 | ↓ -41% |
| Aetna | Commercial|Sound Health | $1,676.93 | ↑ +14% |
| Cigna | Commercial|All Plans | $2,092.58 | ↑ +43% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $2,161.90 | ↑ +47% |
| BCBS - Premera | Commercial|All Other Plans | $2,341.16 | ↑ +60% |
| Kaiser | Commercial|All Plans | $2,412.19 | ↑ +65% |
| First Choice | Commercial|All Plans | $2,424.74 | ↑ +65% |
| Aetna | Commercial|WEA | $2,657.24 | ↑ +81% |
| United | Commercial|All Other Plans | $2,723.68 | ↑ +86% |
| United | Commercial|Cascade Care | $2,723.68 | ↑ +86% |
| Aetna | Commercial|Rental | $2,922.97 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $2,989.40 | ↑ +104% |
Visitor-reported prices
Comments
Dactinomycin 0.5 mg intravenous solution at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $6,972.71 | $337.67 – $2,882.91 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $6,233.34 | $337.67 – $2,402.43 |
| Swedish Medical Center Cherry Hill | Seattle | $6,972.71 | $337.67 – $2,089.07 |
| Swedish Issaquah | Issaquah | $6,972.71 | $337.67 – $2,882.91 |
| Central Medical Center | Seattle | $1,016.99 | $302.92 – $302.92 |
| Swedish Edmonds Hospital | Edmonds | $1,074.33 | $337.67 – $2,245.75 |
| Providence St Mary Medical Center | Walla Walla | $2,609.47 | $337.67 – $2,809.27 |
| Kadlec Regional Medical Center | Richland | $7,555.56 | $337.67 – $2,360.65 |