Pegaspargase 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

$68,694.47

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.

$155,646.95

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.

$27,014.86 with Uniform Medical Plan vs $140,082.26 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 $27,014.86 ↓ -61%
BCBS - Regence Commercial|All Plans $27,014.86 ↓ -61%
Aetna Commercial|WEA $30,057.42 ↓ -56%
CHPW Medicare|All Plans $33,125.97 ↓ -52%
Kaiser Medicare|All Plans $33,125.97 ↓ -52%
Optum Medicare|All Plans $33,457.23 ↓ -51%
Wellcare Medicare|All Plans $33,632.13 ↓ -51%
Aetna Medicare|All Plans $34,119.75 ↓ -50%
BCBS - Regence Medicare|All Plans $34,119.75 ↓ -50%
BCBS - Premera Medicare|All Plans $34,119.75 ↓ -50%
Humana Medicare|All Plans $35,444.79 ↓ -48%
Molina Medicare|All Plans $35,776.05 ↓ -48%
United Medicare|All Plans $35,776.05 ↓ -48%
Aetna Commercial|Sound Health $51,562.92 ↓ -25%
Aetna Commercial|All Other Plans $54,029.71 ↓ -21%
Aetna Commercial|AWH $54,029.71 ↓ -21%
Cigna Commercial|All Plans $60,114.84 ↓ -12%
Sound Family Medicine Commercial|All Plans $66,251.94 ↓ -4%
Molina Commercial|Marketplace Exchange $72,561.64 ↑ +6%
Coordinated Care Commercial|Ambetter Exchange $77,514.77 ↑ +13%
BCBS - Premera Commercial|LifeWise Primary Exchange $83,325.67 ↑ +21%
BCBS - Premera Commercial|All Other Plans $90,235.10 ↑ +31%
Kaiser Commercial|All Plans $104,045.35 ↑ +51%
First Choice Commercial|All Plans $113,622.28 ↑ +65%
United Commercial|Cascade Care $127,630.50 ↑ +86%
United Commercial|All Other Plans $127,630.50 ↑ +86%
Aetna Commercial|Rental $136,969.32 ↑ +99%
MultiPlan Commercial|All Plans $140,082.26 ↑ +104%

Visitor-reported prices

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Pegaspargase injection at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $56,102.26 $20,109.54 – $52,584.51
Providence St Mary Medical Center Walla Walla $80,326.32 $27,014.86 – $190,918.55
Providence Holy Family Hospital Spokane $56,102.26 $25,781.46 – $65,377.89
Providence St Peter Hospital Olympia $42,938.87 $24,160.45 – $92,804.55
St. Anne Hospital Burien $47,527.66 $13,243.23 – $140,082.26
St. Anthony Hospital Gig Harbor $47,339.82 $11,049.41 – $116,735.22
St. Joseph Medical Center Tacoma $51,549.89 $11,049.41 – $116,735.22
St. Elizabeth Hospital Enumclaw $55,000.09 $12,280.09 – $140,082.26

All Washington hospitals for this procedure →