Clsd tx/prox/mid phalnx fx/no manp 26720 at St. Anne Hospital
16251 Sylvester Rd SW, Burien, WA · Vmfh · · NPI 1558333682
$280.27
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.
$917.83
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.
$267.00 with SoundPath vs $1,094.70 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 |
|---|---|---|---|
| SoundPath | Medicare|All Plans | $267.00 | ↓ -5% |
| Kaiser | Medicare|All Plans | $267.00 | ↓ -5% |
| Optum | Medicare|All Plans | $269.67 | ↓ -4% |
| Aetna | Medicare|All Plans | $275.01 | ↓ -2% |
| BCBS - Regence | Medicare|All Plans | $275.01 | ↓ -2% |
| BCBS - Premera | Medicare|All Plans | $275.01 | ↓ -2% |
| Humana | Medicare|All Plans | $285.69 | ↑ +2% |
| United | Medicare|All Plans | $288.36 | ↑ +3% |
| Molina | Medicare|All Plans | $288.36 | ↑ +3% |
| Amerigroup | Medicare|All Plans | $291.03 | ↑ +4% |
| Seattle Medical Group | Medicare|All Plans | $307.05 | ↑ +10% |
| Kaiser | Commercial|PPO | $394.67 | ↑ +41% |
| Sound Family Medicine | Commercial|All Plans | $507.30 | ↑ +81% |
| Molina | Commercial|Marketplace Exchange | $512.64 | ↑ +83% |
| First Choice | Commercial|All Plans | $522.30 | ↑ +86% |
| Coordinated Care | Commercial|Ambetter Exchange | $528.66 | ↑ +89% |
| Kaiser | Commercial|HMO | $550.70 | ↑ +96% |
| Uniform Medical Plan | Commercial|All Plans | $582.82 | ↑ +108% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $632.03 | ↑ +126% |
| Cigna | Commercial|All Plans | $633.31 | ↑ +126% |
| Aetna | Commercial|Rental | $660.84 | ↑ +136% |
| BCBS - Regence | Commercial|All Plans | $668.30 | ↑ +138% |
| BCBS - Premera | Commercial|All Other Plans | $715.05 | ↑ +155% |
| MultiPlan | Commercial|All Plans | $826.05 | ↑ +195% |
| Aetna | Commercial|AWH | $929.16 | ↑ +232% |
| United | Commercial|All Other Plans | $1,076.70 | ↑ +284% |
| United | Commercial|Cascade Care | $1,076.70 | ↑ +284% |
| Aetna | Commercial|All Other Plans | $1,094.70 | ↑ +291% |
Visitor-reported prices
Comments
Clsd tx/prox/mid phalnx fx/no manp 26720 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $349.30 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $705.60 | $285.64 – $1,013.51 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $754.60 | $274.87 – $699.55 |
| Swedish Medical Center Cherry Hill | Seattle | $705.60 | $285.64 – $981.16 |
| Swedish Issaquah | Issaquah | $705.60 | $286.44 – $1,013.51 |
| Providence Centralia Hospital | Centralia | $620.36 | $285.64 – $1,261.49 |
| Providence Mount Carmel Hospital | Colville | $362.60 | not published |
| Providence St Mary Medical Center | Walla Walla | $478.10 | $208.96 – $979.01 |