Inj, spesolimab-sbzo, 1 mg 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

$143,605.81

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.

$325,380.00

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.

$102,494.70 with Cigna vs $146,421.00 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 $102,494.70 ↓ -29%
Aetna Commercial|AWH $110,629.20 ↓ -23%
Aetna Commercial|Sound Health $117,136.80 ↓ -18%
First Choice Commercial|All Plans $118,763.70 ↓ -17%
Aetna Commercial|WEA $130,152.00 ↓ -9%
Aetna Commercial|All Other Plans $130,152.00 ↓ -9%
United Commercial|All Other Plans $133,405.80 ↓ -7%
United Commercial|Cascade Care $133,405.80 ↓ -7%
Aetna Commercial|Rental $143,167.20 ↓ -0%
MultiPlan Commercial|All Plans $146,421.00 ↑ +2%

Visitor-reported prices

visitor-reported
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Inj, spesolimab-sbzo, 1 mg at other Washington hospitals

Hospital City Cash price Negotiated range
St. Anne Hospital Burien $99,356.59 $69,956.70 – $146,421.00
St. Anthony Hospital Gig Harbor $98,963.90 $81,345.00 – $122,017.50
St. Joseph Medical Center Tacoma $107,765.05 $81,345.00 – $122,017.50
St. Elizabeth Hospital Enumclaw $114,977.70 $27,657.30 – $146,421.00
St. Francis Hospital Federal Way $102,111.75 $81,345.00 – $122,017.50
St. Clare Hospital Lakewood $93,787.81 $81,345.00 – $122,017.50
Swedish Medical Center - First Hill Campus Seattle not published $61.42 – $121.60
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $46.97 – $121.60

All Washington hospitals for this procedure →