Biopsy of prostate at St. Anne Hospital
16251 Sylvester Rd SW, Burien, WA · Vmfh · · NPI 1558333682
$1,578.69
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.
?
What you pay up front if you don't use insurance.
$5,170.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,223.10 with Kaiser vs $9,348.29 with Aetna — 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 →
?
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 | $2,223.10 | ↑ +41% |
| SoundPath | Medicare|All Plans | $2,280.07 | ↑ +44% |
| Kaiser | Medicare|All Plans | $2,280.07 | ↑ +44% |
| Optum | Medicare|All Plans | $2,302.87 | ↑ +46% |
| BCBS - Regence | Medicare|All Plans | $2,348.47 | ↑ +49% |
| Aetna | Medicare|All Plans | $2,348.47 | ↑ +49% |
| BCBS - Premera | Medicare|All Plans | $2,348.47 | ↑ +49% |
| Humana | Medicare|All Plans | $2,439.67 | ↑ +55% |
| Molina | Medicare|All Plans | $2,462.48 | ↑ +56% |
| United | Medicare|All Plans | $2,462.48 | ↑ +56% |
| Amerigroup | Medicare|All Plans | $2,485.28 | ↑ +57% |
| Seattle Medical Group | Medicare|All Plans | $2,622.08 | ↑ +66% |
| Kaiser | Commercial|HMO | $3,102.00 | ↑ +96% |
| Aetna | Commercial|Rental | $3,722.40 | ↑ +136% |
| Sound Family Medicine | Commercial|All Plans | $4,332.13 | ↑ +174% |
| Molina | Commercial|Marketplace Exchange | $4,377.73 | ↑ +177% |
| Coordinated Care | Commercial|Ambetter Exchange | $4,514.54 | ↑ +186% |
| MultiPlan | Commercial|All Plans | $4,653.00 | ↑ +195% |
| First Choice | Commercial|All Plans | $4,811.80 | ↑ +205% |
| Uniform Medical Plan | Commercial|All Plans | $5,033.88 | ↑ +219% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $5,458.95 | ↑ +246% |
| BCBS - Regence | Commercial|All Plans | $5,772.11 | ↑ +266% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +275% |
| BCBS - Premera | Commercial|All Other Plans | $6,176.07 | ↑ +291% |
| Aetna | Commercial|AWH | $7,934.64 | ↑ +403% |
| United | Commercial|Cascade Care | $9,194.60 | ↑ +482% |
| United | Commercial|All Other Plans | $9,194.60 | ↑ +482% |
| Aetna | Commercial|All Other Plans | $9,348.29 | ↑ +492% |
Visitor-reported prices
Comments
Biopsy of prostate at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $1,144.50 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $5,869.44 | $5,425.12 – $8,627.45 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,735.20 | $4,091.32 – $16,508.00 |
| Swedish Medical Center Cherry Hill | Seattle | $5,869.44 | $5,425.12 – $8,308.57 |
| Swedish Issaquah | Issaquah | $5,869.44 | $4,503.96 – $10,403.00 |
| Providence Mount Carmel Hospital | Colville | $1,477.70 | not published |
| Providence St Mary Medical Center | Walla Walla | $3,922.10 | $1,804.81 – $13,809.00 |
| Kadlec Regional Medical Center | Richland | $2,400.30 | $216.87 – $10,013.00 |