Cystostomy cystotomy w/drainage 51040 at St. Anne Hospital
16251 Sylvester Rd SW, Burien, WA · Vmfh · · NPI 1558333682
$991.32
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.
$3,246.42
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.
$1,395.97 with Kaiser vs $9,348.29 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 | $1,395.97 | ↑ +41% |
| Kaiser | Commercial|HMO | $1,947.86 | ↑ +96% |
| Kaiser | Medicare|All Plans | $2,280.07 | ↑ +130% |
| SoundPath | Medicare|All Plans | $2,280.07 | ↑ +130% |
| Optum | Medicare|All Plans | $2,302.87 | ↑ +132% |
| Aetna | Commercial|Rental | $2,337.43 | ↑ +136% |
| Aetna | Medicare|All Plans | $2,348.47 | ↑ +137% |
| BCBS - Premera | Medicare|All Plans | $2,348.47 | ↑ +137% |
| BCBS - Regence | Medicare|All Plans | $2,348.47 | ↑ +137% |
| Humana | Medicare|All Plans | $2,439.67 | ↑ +146% |
| Molina | Medicare|All Plans | $2,462.48 | ↑ +148% |
| United | Medicare|All Plans | $2,462.48 | ↑ +148% |
| Amerigroup | Medicare|All Plans | $2,485.28 | ↑ +151% |
| Seattle Medical Group | Medicare|All Plans | $2,622.08 | ↑ +165% |
| MultiPlan | Commercial|All Plans | $2,921.78 | ↑ +195% |
| Sound Family Medicine | Commercial|All Plans | $4,332.13 | ↑ +337% |
| Molina | Commercial|Marketplace Exchange | $4,377.73 | ↑ +342% |
| Coordinated Care | Commercial|Ambetter Exchange | $4,514.54 | ↑ +355% |
| Uniform Medical Plan | Commercial|All Plans | $5,033.88 | ↑ +408% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $5,458.95 | ↑ +451% |
| BCBS - Regence | Commercial|All Plans | $5,772.11 | ↑ +482% |
| BCBS - Premera | Commercial|All Other Plans | $6,176.07 | ↑ +523% |
| Aetna | Commercial|AWH | $7,934.64 | ↑ +700% |
| Cigna | Commercial|All Plans | $8,016.00 | ↑ +709% |
| First Choice | Commercial|All Plans | $9,136.05 | ↑ +822% |
| United | Commercial|Cascade Care | $9,194.60 | ↑ +828% |
| United | Commercial|All Other Plans | $9,194.60 | ↑ +828% |
| Aetna | Commercial|All Other Plans | $9,348.29 | ↑ +843% |
Visitor-reported prices
Comments
Cystostomy cystotomy w/drainage 51040 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $3,774.40 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $5,273.76 | $2,420.64 – $8,627.45 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $5,341.00 | $2,329.41 – $5,928.34 |
| Swedish Medical Center Cherry Hill | Seattle | $5,273.76 | $2,420.64 – $8,308.57 |
| Swedish Issaquah | Issaquah | $5,273.76 | $2,427.43 – $8,627.45 |
| Providence Centralia Hospital | Centralia | $3,875.56 | $2,420.64 – $10,363.57 |
| Providence Mount Carmel Hospital | Colville | $5,218.50 | not published |
| Providence St Mary Medical Center | Walla Walla | $4,235.70 | $1,804.81 – $4,309.40 |