Biopsy lower leg soft tissue at St. Anne Hospital
16251 Sylvester Rd SW, Burien, WA · Vmfh · · NPI 1558333682
$648.32
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.
$2,123.14
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.
$912.96 with Kaiser vs $7,393.90 with Aetna — 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 |
|---|---|---|---|
| Kaiser | Commercial|PPO | $912.96 | ↑ +41% |
| Kaiser | Commercial|HMO | $1,273.89 | ↑ +96% |
| Aetna | Commercial|Rental | $1,528.67 | ↑ +136% |
| Kaiser | Medicare|All Plans | $1,803.39 | ↑ +178% |
| SoundPath | Medicare|All Plans | $1,803.39 | ↑ +178% |
| Optum | Medicare|All Plans | $1,821.42 | ↑ +181% |
| BCBS - Regence | Medicare|All Plans | $1,857.49 | ↑ +187% |
| Aetna | Medicare|All Plans | $1,857.49 | ↑ +187% |
| BCBS - Premera | Medicare|All Plans | $1,857.49 | ↑ +187% |
| MultiPlan | Commercial|All Plans | $1,910.83 | ↑ +195% |
| Humana | Medicare|All Plans | $1,929.63 | ↑ +198% |
| United | Medicare|All Plans | $1,947.66 | ↑ +200% |
| Molina | Medicare|All Plans | $1,947.66 | ↑ +200% |
| Amerigroup | Medicare|All Plans | $1,965.70 | ↑ +203% |
| Seattle Medical Group | Medicare|All Plans | $2,073.90 | ↑ +220% |
| First Choice | Commercial|All Plans | $2,876.83 | ↑ +344% |
| Sound Family Medicine | Commercial|All Plans | $3,426.44 | ↑ +429% |
| Molina | Commercial|Marketplace Exchange | $3,462.51 | ↑ +434% |
| Coordinated Care | Commercial|Ambetter Exchange | $3,570.71 | ↑ +451% |
| Uniform Medical Plan | Commercial|All Plans | $4,006.93 | ↑ +518% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $4,345.28 | ↑ +570% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +603% |
| BCBS - Regence | Commercial|All Plans | $4,594.55 | ↑ +609% |
| BCBS - Premera | Commercial|All Other Plans | $4,916.10 | ↑ +658% |
| Aetna | Commercial|AWH | $6,275.80 | ↑ +868% |
| United | Commercial|Cascade Care | $7,272.34 | ↑ +1022% |
| United | Commercial|All Other Plans | $7,272.34 | ↑ +1022% |
| Aetna | Commercial|All Other Plans | $7,393.90 | ↑ +1040% |
Visitor-reported prices
Comments
Biopsy lower leg soft tissue at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,252.60 | $1,840.45 – $4,683.94 |
| MultiCare Valley Hospital | Spokane Valley | $2,526.80 | $1,183.41 – $6,673.00 |
| MultiCare Yakima Memorial Hospital | Yakima | $2,213.20 | $1,970.33 – $5,046.04 |
| St. Michael Medical Center | Silverdale | $937.05 | $1,337.58 – $7,067.38 |
| St. Anthony Hospital | Gig Harbor | $645.76 | $1,528.67 – $4,080.13 |
| MultiCare Auburn Medical Center | Auburn | $3,099.60 | $1,210.46 – $7,928.07 |
| MultiCare Good Samaritan Hospital | Puyallup | $3,099.60 | $1,238.45 – $7,928.07 |
| St. Joseph Medical Center | Tacoma | $703.18 | $1,528.67 – $4,080.13 |