Darbepoetin alfa, esrd use 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

$4,763.25

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.

$10,792.50

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.

$3.06 with Uniform Medical Plan vs $3,885.30 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 $3.06 ↓ -100%
BCBS - Regence Commercial|All Plans $3.06 ↓ -100%
Kaiser Medicare|All Plans $3.49 ↓ -100%
CHPW Medicare|All Plans $3.49 ↓ -100%
Optum Medicare|All Plans $3.52 ↓ -100%
BCBS - Premera Medicare|All Plans $3.59 ↓ -100%
Aetna Medicare|All Plans $3.59 ↓ -100%
BCBS - Regence Medicare|All Plans $3.59 ↓ -100%
Humana Medicare|All Plans $3.73 ↓ -100%
Wellcare Medicare|All Plans $3.77 ↓ -100%
Molina Medicare|All Plans $3.77 ↓ -100%
United Medicare|All Plans $3.77 ↓ -100%
Aetna Commercial|Sound Health $5.89 ↓ -100%
Aetna Commercial|AWH $6.13 ↓ -100%
Aetna Commercial|All Other Plans $6.13 ↓ -100%
Sound Family Medicine Commercial|All Plans $6.98 ↓ -100%
Aetna Commercial|WEA $7.54 ↓ -100%
Molina Commercial|Marketplace Exchange $7.96 ↓ -100%
Coordinated Care Commercial|Ambetter Exchange $8.17 ↓ -100%
BCBS - Premera Commercial|LifeWise Primary Exchange $9.47 ↓ -100%
BCBS - Premera Commercial|All Other Plans $10.26 ↓ -100%
Kaiser Commercial|All Plans $13.64 ↓ -100%
Cigna Commercial|All Plans $15.08 ↓ -100%
First Choice Commercial|All Plans $3,151.41 ↓ -34%
United Commercial|All Other Plans $3,539.94 ↓ -26%
United Commercial|Cascade Care $3,539.94 ↓ -26%
Aetna Commercial|Rental $3,798.96 ↓ -20%
MultiPlan Commercial|All Plans $3,885.30 ↓ -18%

Visitor-reported prices

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Darbepoetin alfa, esrd use at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Yakima Memorial Hospital Yakima $14.26 $3.07 – $8.39
Virginia Mason Medical Center Seattle $7.24 $2.05 – $9.28
MultiCare Covington Medical Center Covington $28.72 $3.01 – $119.56
MultiCare Allenmore Hospital Tacoma $19.46 $3.01 – $122.37
Providence St Luke's Rehabilitation Medical Center Spokane not published $3.07 – $3.38
Swedish Medical Center - First Hill Campus Seattle not published $3.06 – $10.26
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $2.29 – $8.55
Swedish Medical Center Cherry Hill Seattle not published $3.06 – $7.43

All Washington hospitals for this procedure →