Consultation pathology during surgery at St. Anne Hospital
16251 Sylvester Rd SW, Burien, WA · Vmfh · · NPI 1558333682
$104.49
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.
$342.17
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.
$56.05 with Cigna vs $307.96 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 →
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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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $56.05 | ↓ -46% |
| SoundPath | Medicare|All Plans | $66.11 | ↓ -37% |
| Kaiser | Medicare|All Plans | $66.11 | ↓ -37% |
| Optum | Medicare|All Plans | $66.77 | ↓ -36% |
| Aetna | Medicare|All Plans | $68.09 | ↓ -35% |
| BCBS - Premera | Medicare|All Plans | $68.09 | ↓ -35% |
| BCBS - Regence | Medicare|All Plans | $68.09 | ↓ -35% |
| Humana | Medicare|All Plans | $70.74 | ↓ -32% |
| Molina | Medicare|All Plans | $71.40 | ↓ -32% |
| United | Medicare|All Plans | $71.40 | ↓ -32% |
| Amerigroup | Medicare|All Plans | $72.06 | ↓ -31% |
| Seattle Medical Group | Medicare|All Plans | $76.03 | ↓ -27% |
| First Choice | Commercial|All Plans | $100.77 | ↓ -4% |
| Sound Family Medicine | Commercial|All Plans | $125.61 | ↑ +20% |
| Molina | Commercial|Marketplace Exchange | $126.93 | ↑ +21% |
| Coordinated Care | Commercial|Ambetter Exchange | $130.90 | ↑ +25% |
| Kaiser | Commercial|PPO | $147.14 | ↑ +41% |
| Uniform Medical Plan | Commercial|All Plans | $151.17 | ↑ +45% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $163.92 | ↑ +57% |
| BCBS - Regence | Commercial|All Plans | $173.34 | ↑ +66% |
| BCBS - Premera | Commercial|All Other Plans | $185.46 | ↑ +77% |
| Kaiser | Commercial|HMO | $205.31 | ↑ +96% |
| Aetna | Commercial|AWH | $230.06 | ↑ +120% |
| Aetna | Commercial|Rental | $246.37 | ↑ +136% |
| United | Commercial|Cascade Care | $266.59 | ↑ +155% |
| United | Commercial|All Other Plans | $266.59 | ↑ +155% |
| Aetna | Commercial|All Other Plans | $271.05 | ↑ +159% |
| MultiPlan | Commercial|All Plans | $307.96 | ↑ +195% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $147.20 | $153.00 – $153.00 |
| Kadlec Regional Medical Center | Richland | $179.20 | $59.10 – $130.71 |
| St. Michael Medical Center | Silverdale | $151.02 | $99.20 – $307.96 |
| St. Anthony Hospital | Gig Harbor | $104.08 | $56.05 – $256.63 |
| St. Joseph Medical Center | Tacoma | $113.33 | $56.05 – $256.63 |
| St. Elizabeth Hospital | Enumclaw | $120.92 | $56.05 – $307.96 |
| St. Francis Hospital | Federal Way | $107.39 | $56.05 – $256.63 |
| St. Clare Hospital | Lakewood | $98.63 | $56.05 – $256.63 |