Digoxin immune fab 40 mg intravenous solution 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

$7,142.80

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.

$16,184.05

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.

$4,777.44 with BCBS - Regence vs $20,271.42 with Kaiser — 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
BCBS - Regence Commercial|All Plans $4,777.44 ↓ -33%
Uniform Medical Plan Commercial|All Plans $4,777.44 ↓ -33%
Kaiser Medicare|All Plans $5,790.48 ↓ -19%
CHPW Medicare|All Plans $5,790.48 ↓ -19%
Optum Medicare|All Plans $5,848.38 ↓ -18%
BCBS - Premera Medicare|All Plans $5,964.19 ↓ -17%
BCBS - Regence Medicare|All Plans $5,964.19 ↓ -17%
Aetna Medicare|All Plans $5,964.19 ↓ -17%
Wellcare Medicare|All Plans $6,072.93 ↓ -15%
Humana Medicare|All Plans $6,195.81 ↓ -13%
United Medicare|All Plans $6,253.72 ↓ -12%
Molina Medicare|All Plans $6,253.72 ↓ -12%
Aetna Commercial|WEA $7,376.58 ↑ +3%
Aetna Commercial|Sound Health $9,187.15 ↑ +29%
Aetna Commercial|AWH $9,554.88 ↑ +34%
Aetna Commercial|All Other Plans $9,554.88 ↑ +34%
Cigna Commercial|All Plans $10,195.96 ↑ +43%
Sound Family Medicine Commercial|All Plans $11,580.96 ↑ +62%
First Choice Commercial|All Plans $11,814.36 ↑ +65%
United Commercial|Cascade Care $13,270.93 ↑ +86%
United Commercial|All Other Plans $13,270.93 ↑ +86%
Coordinated Care Commercial|Ambetter Exchange $13,549.72 ↑ +90%
Molina Commercial|Marketplace Exchange $13,589.92 ↑ +90%
Aetna Commercial|Rental $14,241.97 ↑ +99%
MultiPlan Commercial|All Plans $14,565.65 ↑ +104%
BCBS - Premera Commercial|LifeWise Primary Exchange $15,440.69 ↑ +116%
BCBS - Premera Commercial|All Other Plans $16,721.04 ↑ +134%
Kaiser Commercial|All Plans $20,271.42 ↑ +184%

Visitor-reported prices

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Digoxin immune fab 40 mg intravenous solution at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $13,025.24 not published
Swedish Medical Center - First Hill Campus Seattle $12,674.99 $4,777.44 – $10,963.10
Providence Sacred Heart Medical Center and Children's Hospital Spokane $13,025.24 $3,726.40 – $9,558.93
Swedish Medical Center Cherry Hill Seattle $12,674.99 $4,777.44 – $9,558.93
Swedish Issaquah Issaquah $12,674.99 $4,777.44 – $10,963.10
Providence Centralia Hospital Centralia $13,856.24 $4,777.44 – $31,872.97
Providence Mount Carmel Hospital Colville $13,025.24 not published
Swedish Edmonds Hospital Edmonds $12,674.99 $5,052.93 – $9,558.93

All Washington hospitals for this procedure →