Pralatrexate 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

$34,117.40

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.

$77,302.70

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.

$299.13 with Uniform Medical Plan vs $46,381.64 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 $299.13 ↓ -99%
BCBS - Regence Commercial|All Plans $299.13 ↓ -99%
Kaiser Medicare|All Plans $453.14 ↓ -99%
CHPW Medicare|All Plans $453.14 ↓ -99%
Optum Medicare|All Plans $457.67 ↓ -99%
Wellcare Medicare|All Plans $464.37 ↓ -99%
Aetna Medicare|All Plans $466.73 ↓ -99%
BCBS - Regence Medicare|All Plans $466.73 ↓ -99%
BCBS - Premera Medicare|All Plans $466.73 ↓ -99%
Humana Medicare|All Plans $484.86 ↓ -99%
Molina Medicare|All Plans $489.39 ↓ -99%
United Medicare|All Plans $489.39 ↓ -99%
Aetna Commercial|WEA $543.22 ↓ -98%
Aetna Commercial|Sound Health $596.36 ↓ -98%
Aetna Commercial|AWH $598.26 ↓ -98%
Aetna Commercial|All Other Plans $598.26 ↓ -98%
Sound Family Medicine Commercial|All Plans $906.28 ↓ -97%
BCBS - Premera Commercial|LifeWise Primary Exchange $934.50 ↓ -97%
Molina Commercial|Marketplace Exchange $1,001.88 ↓ -97%
BCBS - Premera Commercial|All Other Plans $1,011.99 ↓ -97%
Coordinated Care Commercial|Ambetter Exchange $1,060.35 ↓ -97%
Cigna Commercial|All Plans $1,086.44 ↓ -97%
Kaiser Commercial|All Plans $1,553.16 ↓ -95%
First Choice Commercial|All Plans $37,620.66 ↑ +10%
United Commercial|All Other Plans $42,258.83 ↑ +24%
United Commercial|Cascade Care $42,258.83 ↑ +24%
Aetna Commercial|Rental $45,350.94 ↑ +33%
MultiPlan Commercial|All Plans $46,381.64 ↑ +36%

Visitor-reported prices

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Pralatrexate injection at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $19,643.98 $388.83 – $388.83
Providence St Peter Hospital Olympia $14,328.39 $289.14 – $1,282.23
St. Anne Hospital Burien $23,604.81 $684.06 – $46,381.64
St. Anthony Hospital Gig Harbor $23,511.52 $546.58 – $38,651.37
St. Joseph Medical Center Tacoma $25,602.47 $546.58 – $38,651.37
St. Elizabeth Hospital Enumclaw $27,316.02 $291.26 – $46,381.64
St. Francis Hospital Federal Way $24,259.37 $546.58 – $38,651.37
St. Clare Hospital Lakewood $22,281.80 $546.58 – $38,651.37

All Washington hospitals for this procedure →