Thyrotropin alfa 0.9 mg intramuscular solution at St. Michael Medical Center
1800 NW Myhre Rd, Silverdale, WA · Vmfh · · NPI 1518912609
$5,058.29
Cash price 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.
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What you pay up front if you don't use insurance.
$11,461.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$2,065.84 with BCBS - Regence vs $10,314.90 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 →
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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 ?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 ?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 | $2,065.84 | ↓ -59% |
| Uniform Medical Plan | Commercial|All Plans | $2,065.84 | ↓ -59% |
| Kaiser | Medicare|All Plans | $2,462.81 | ↓ -51% |
| CHPW | Medicare|All Plans | $2,462.81 | ↓ -51% |
| Optum | Medicare|All Plans | $2,487.44 | ↓ -51% |
| BCBS - Premera | Medicare|All Plans | $2,536.69 | ↓ -50% |
| BCBS - Regence | Medicare|All Plans | $2,536.69 | ↓ -50% |
| Aetna | Medicare|All Plans | $2,536.69 | ↓ -50% |
| Wellcare | Medicare|All Plans | $2,575.90 | ↓ -49% |
| Humana | Medicare|All Plans | $2,635.21 | ↓ -48% |
| United | Medicare|All Plans | $2,659.83 | ↓ -47% |
| Molina | Medicare|All Plans | $2,659.83 | ↓ -47% |
| Aetna | Commercial|WEA | $3,248.90 | ↓ -36% |
| Aetna | Commercial|Sound Health | $4,022.53 | ↓ -20% |
| Aetna | Commercial|All Other Plans | $4,131.68 | ↓ -18% |
| Aetna | Commercial|AWH | $4,131.68 | ↓ -18% |
| Sound Family Medicine | Commercial|All Plans | $4,925.62 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $5,542.95 | ↑ +10% |
| Coordinated Care | Commercial|Ambetter Exchange | $5,762.98 | ↑ +14% |
| Cigna | Commercial|All Plans | $6,497.80 | ↑ +28% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $6,532.42 | ↑ +29% |
| BCBS - Premera | Commercial|All Other Plans | $7,074.10 | ↑ +40% |
| First Choice | Commercial|All Plans | $8,366.53 | ↑ +65% |
| Kaiser | Commercial|All Plans | $8,502.70 | ↑ +68% |
| United | Commercial|Cascade Care | $9,398.02 | ↑ +86% |
| United | Commercial|All Other Plans | $9,398.02 | ↑ +86% |
| Aetna | Commercial|Rental | $10,085.68 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $10,314.90 | ↑ +104% |
Visitor-reported prices
Comments
Thyrotropin alfa 0.9 mg intramuscular solution at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $5,619.89 | $2,065.84 – $4,803.02 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $5,775.19 | $1,576.51 – $4,002.52 |
| Swedish Medical Center Cherry Hill | Seattle | $5,619.89 | $2,065.84 – $3,931.87 |
| Swedish Issaquah | Issaquah | $5,619.89 | $2,065.84 – $4,803.02 |
| Providence Mount Carmel Hospital | Colville | $5,775.19 | not published |
| Swedish Edmonds Hospital | Edmonds | $5,619.89 | $2,125.34 – $3,931.87 |
| Providence St Mary Medical Center | Walla Walla | $6,213.98 | $2,065.84 – $12,774.65 |
| Kadlec Regional Medical Center | Richland | $5,293.92 | $2,021.17 – $3,932.91 |