Dextran 40 infusion 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

$180.30

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.

$408.50

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.

$71.08 with Cigna vs $367.65 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
Cigna Commercial|All Plans $71.08 ↓ -61%
Aetna Commercial|AWH $277.78 ↑ +54%
Aetna Commercial|Sound Health $294.12 ↑ +63%
First Choice Commercial|All Plans $298.21 ↑ +65%
Aetna Commercial|WEA $326.80 ↑ +81%
Aetna Commercial|All Other Plans $326.80 ↑ +81%
United Commercial|All Other Plans $334.97 ↑ +86%
United Commercial|Cascade Care $334.97 ↑ +86%
Aetna Commercial|Rental $359.48 ↑ +99%
MultiPlan Commercial|All Plans $367.65 ↑ +104%

Visitor-reported prices

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Dextran 40 infusion at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $171.76 $35.50 – $35.50
Providence Sacred Heart Medical Center and Children's Hospital Spokane $197.85 $35.50 – $79.64
Swedish Medical Center Cherry Hill Seattle $171.76 $35.50 – $35.50
Swedish Issaquah Issaquah $171.76 $35.50 – $35.50
Swedish Edmonds Hospital Edmonds $171.76 $35.50 – $35.50
Kadlec Regional Medical Center Richland $307.15 $49.45 – $154.59
Providence Holy Family Hospital Spokane $197.85 $35.50 – $79.64
Providence Regional Medical Center Everett - Colby Campus Everett $118.98 $35.50 – $79.64

All Washington hospitals for this procedure →