Nelarabine injection 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

$1,218.74

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.

$2,761.40

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.

$73.32 with Uniform Medical Plan vs $2,485.26 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 $73.32 ↓ -94%
BCBS - Regence Commercial|All Plans $73.32 ↓ -94%
Kaiser Medicare|All Plans $73.86 ↓ -94%
CHPW Medicare|All Plans $73.86 ↓ -94%
Optum Medicare|All Plans $74.60 ↓ -94%
BCBS - Premera Medicare|All Plans $76.08 ↓ -94%
Aetna Medicare|All Plans $76.08 ↓ -94%
BCBS - Regence Medicare|All Plans $76.08 ↓ -94%
Humana Medicare|All Plans $79.03 ↓ -94%
Molina Medicare|All Plans $79.77 ↓ -93%
United Medicare|All Plans $79.77 ↓ -93%
Wellcare Medicare|All Plans $90.10 ↓ -93%
Aetna Commercial|AWH $146.64 ↓ -88%
Aetna Commercial|All Other Plans $146.64 ↓ -88%
Sound Family Medicine Commercial|All Plans $147.72 ↓ -88%
Coordinated Care Commercial|Ambetter Exchange $172.83 ↓ -86%
Molina Commercial|Marketplace Exchange $200.38 ↓ -84%
Aetna Commercial|Sound Health $233.29 ↓ -81%
Aetna Commercial|WEA $304.42 ↓ -75%
BCBS - Premera Commercial|LifeWise Primary Exchange $358.69 ↓ -71%
BCBS - Premera Commercial|All Other Plans $388.44 ↓ -68%
Kaiser Commercial|All Plans $572.98 ↓ -53%
Cigna Commercial|All Plans $608.88 ↓ -50%
First Choice Commercial|All Plans $2,015.83 ↑ +65%
United Commercial|All Other Plans $2,264.35 ↑ +86%
United Commercial|Cascade Care $2,264.35 ↑ +86%
Aetna Commercial|Rental $2,430.04 ↑ +99%
MultiPlan Commercial|All Plans $2,485.26 ↑ +104%

Visitor-reported prices

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Nelarabine injection at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $2,054.05 $52.71 – $349.95
Central Medical Center Seattle $911.50 $63.38 – $63.38
Providence Holy Family Hospital Spokane $2,054.05 $52.71 – $164.46
Providence St Peter Hospital Olympia $1,446.08 $44.80 – $471.67
St. Anne Hospital Burien $843.21 $564.11 – $2,485.26
St. Anthony Hospital Gig Harbor $839.88 $389.44 – $2,071.05
St. Joseph Medical Center Tacoma $914.57 $389.44 – $2,071.05
St. Elizabeth Hospital Enumclaw $975.79 $92.47 – $2,485.26

All Washington hospitals for this procedure →