Temozolomide 100 mg 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

$2,748.12

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.

$6,226.65

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.

$10.40 with BCBS - Regence vs $3,396.33 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 $10.40 ↓ -100%
Uniform Medical Plan Commercial|All Plans $10.40 ↓ -100%
Kaiser Medicare|All Plans $12.11 ↓ -100%
CHPW Medicare|All Plans $12.11 ↓ -100%
Optum Medicare|All Plans $12.23 ↓ -100%
BCBS - Premera Medicare|All Plans $12.47 ↓ -100%
BCBS - Regence Medicare|All Plans $12.47 ↓ -100%
Aetna Medicare|All Plans $12.47 ↓ -100%
Wellcare Medicare|All Plans $12.92 ↓ -100%
Humana Medicare|All Plans $12.96 ↓ -100%
United Medicare|All Plans $13.08 ↓ -100%
Molina Medicare|All Plans $13.08 ↓ -100%
Aetna Commercial|Sound Health $20.80 ↓ -99%
Aetna Commercial|AWH $20.80 ↓ -99%
Aetna Commercial|All Other Plans $20.80 ↓ -99%
Aetna Commercial|WEA $21.10 ↓ -99%
Sound Family Medicine Commercial|All Plans $24.22 ↓ -99%
Molina Commercial|Marketplace Exchange $27.90 ↓ -99%
Coordinated Care Commercial|Ambetter Exchange $28.34 ↓ -99%
BCBS - Premera Commercial|LifeWise Primary Exchange $33.62 ↓ -99%
BCBS - Premera Commercial|All Other Plans $36.41 ↓ -99%
Cigna Commercial|All Plans $42.24 ↓ -98%
Kaiser Commercial|All Plans $45.98 ↓ -98%
First Choice Commercial|All Plans $2,754.81 ↑ +0%
United Commercial|Cascade Care $3,094.44 ↑ +13%
United Commercial|All Other Plans $3,094.44 ↑ +13%
Aetna Commercial|Rental $3,320.86 ↑ +21%
MultiPlan Commercial|All Plans $3,396.33 ↑ +24%

Visitor-reported prices

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Temozolomide 100 mg intravenous solution at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $2,851.96 $10.40 – $28.64
Swedish Medical Center Cherry Hill Seattle $2,851.96 $10.40 – $20.75
Swedish Issaquah Issaquah $2,851.96 $10.40 – $28.64
Swedish Edmonds Hospital Edmonds $2,851.96 $10.40 – $22.31
St. Anne Hospital Burien $1,901.35 $23.41 – $3,396.33
St. Anthony Hospital Gig Harbor $1,893.83 $19.54 – $2,830.28
St. Joseph Medical Center Tacoma $2,062.26 $19.54 – $2,830.28
St. Elizabeth Hospital Enumclaw $2,200.28 $10.39 – $3,396.33

All Washington hospitals for this procedure →