Pembrolizumab 25 mg/ml intravenous solution 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

$21,682.77

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.

Full explanation →

What you pay up front if you don't use insurance.

$49,128.50

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$56.66 with BCBS - Regence vs $22,107.83 with MultiPlan — same scan, same building. Share

Negotiated rates by payer
?

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 $56.66 ↓ -100%
Uniform Medical Plan Commercial|All Plans $56.66 ↓ -100%
Kaiser Medicare|All Plans $68.25 ↓ -100%
CHPW Medicare|All Plans $68.25 ↓ -100%
Optum Medicare|All Plans $68.93 ↓ -100%
BCBS - Premera Medicare|All Plans $70.30 ↓ -100%
BCBS - Regence Medicare|All Plans $70.30 ↓ -100%
Aetna Medicare|All Plans $70.30 ↓ -100%
Wellcare Medicare|All Plans $72.33 ↓ -100%
Humana Medicare|All Plans $73.03 ↓ -100%
United Medicare|All Plans $73.71 ↓ -100%
Molina Medicare|All Plans $73.71 ↓ -100%
Aetna Commercial|WEA $98.70 ↓ -100%
Aetna Commercial|Sound Health $112.82 ↓ -99%
Aetna Commercial|All Other Plans $113.32 ↓ -99%
Aetna Commercial|AWH $113.32 ↓ -99%
Sound Family Medicine Commercial|All Plans $136.50 ↓ -99%
Molina Commercial|Marketplace Exchange $154.40 ↓ -99%
Coordinated Care Commercial|Ambetter Exchange $159.71 ↓ -99%
BCBS - Premera Commercial|LifeWise Primary Exchange $180.12 ↓ -99%
BCBS - Premera Commercial|All Other Plans $195.06 ↓ -99%
Cigna Commercial|All Plans $197.40 ↓ -99%
Kaiser Commercial|All Plans $244.57 ↓ -99%
First Choice Commercial|All Plans $17,931.91 ↓ -17%
United Commercial|Cascade Care $20,142.69 ↓ -7%
United Commercial|All Other Plans $20,142.69 ↓ -7%
Aetna Commercial|Rental $21,616.54 ↓ -0%
MultiPlan Commercial|All Plans $22,107.83 ↑ +2%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Pembrolizumab 25 mg/ml intravenous solution at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $18,560.15 $56.66 – $140.33
Providence Sacred Heart Medical Center and Children's Hospital Spokane $16,592.08 $43.47 – $116.95
Swedish Medical Center Cherry Hill Seattle $18,560.15 $56.66 – $113.31
Swedish Issaquah Issaquah $18,560.15 $56.66 – $140.33
Central Medical Center Seattle $7,973.26 $58.56 – $58.56
Swedish Edmonds Hospital Edmonds $18,560.15 $60.29 – $113.31
Providence St Mary Medical Center Walla Walla $25,977.50 $56.66 – $400.40
Kadlec Regional Medical Center Richland $14,371.42 $55.73 – $114.91

All Washington hospitals for this procedure →