Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) 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

$6,383.53

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.

$14,463.70

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.

$12.28 with BCBS - Regence vs $6,508.67 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
BCBS - Regence Commercial|All Plans $12.28 ↓ -100%
Uniform Medical Plan Commercial|All Plans $12.28 ↓ -100%
Wellcare Medicare|All Plans $13.88 ↓ -100%
CHPW Medicare|All Plans $13.99 ↓ -100%
Kaiser Medicare|All Plans $13.99 ↓ -100%
Optum Medicare|All Plans $14.13 ↓ -100%
BCBS - Premera Medicare|All Plans $14.41 ↓ -100%
Aetna Medicare|All Plans $14.41 ↓ -100%
BCBS - Regence Medicare|All Plans $14.41 ↓ -100%
Humana Medicare|All Plans $14.97 ↓ -100%
United Medicare|All Plans $15.11 ↓ -100%
Molina Medicare|All Plans $15.11 ↓ -100%
Aetna Commercial|Sound Health $20.69 ↓ -100%
Aetna Commercial|AWH $22.31 ↓ -100%
Aetna Commercial|All Other Plans $22.31 ↓ -100%
Sound Family Medicine Commercial|All Plans $27.98 ↓ -100%
Molina Commercial|Marketplace Exchange $30.80 ↓ -100%
Coordinated Care Commercial|Ambetter Exchange $32.74 ↓ -99%
BCBS - Premera Commercial|LifeWise Primary Exchange $34.67 ↓ -99%
BCBS - Premera Commercial|All Other Plans $37.54 ↓ -99%
Kaiser Commercial|All Plans $43.69 ↓ -99%
Cigna Commercial|All Plans $4,556.07 ↓ -29%
First Choice Commercial|All Plans $5,279.26 ↓ -17%
Aetna Commercial|WEA $5,785.48 ↓ -9%
United Commercial|Cascade Care $5,930.12 ↓ -7%
United Commercial|All Other Plans $5,930.12 ↓ -7%
Aetna Commercial|Rental $6,364.03 ↓ -0%
MultiPlan Commercial|All Plans $6,508.67 ↑ +2%

Visitor-reported prices

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Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $7,469.92 not published
Swedish Medical Center - First Hill Campus Seattle $7,269.05 $11.16 – $22.55
Swedish Medical Center Cherry Hill Seattle $7,269.05 $11.16 – $22.55
Swedish Issaquah Issaquah $7,269.05 $11.41 – $22.55
Providence Centralia Hospital Centralia $8,040.88 $11.16 – $73.71
Providence Mount Carmel Hospital Colville $7,469.92 not published
Swedish Edmonds Hospital Edmonds $7,269.05 $11.41 – $22.55
Providence St Mary Medical Center Walla Walla $8,037.49 $11.16 – $68.96

All Washington hospitals for this procedure →