Drainage of mouth lesion at St. Anne Hospital
16251 Sylvester Rd SW, Burien, WA · Vmfh · · NPI 1558333682
$1,320.15
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.
$4,323.30
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.
$1,859.02 with Kaiser vs $14,799.65 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 | $1,859.02 | ↑ +41% |
| Kaiser | Commercial|HMO | $2,593.98 | ↑ +96% |
| Aetna | Commercial|Rental | $3,112.78 | ↑ +136% |
| Kaiser | Medicare|All Plans | $3,609.67 | ↑ +173% |
| SoundPath | Medicare|All Plans | $3,609.67 | ↑ +173% |
| Optum | Medicare|All Plans | $3,645.77 | ↑ +176% |
| BCBS - Premera | Medicare|All Plans | $3,717.96 | ↑ +182% |
| Aetna | Medicare|All Plans | $3,717.96 | ↑ +182% |
| BCBS - Regence | Medicare|All Plans | $3,717.96 | ↑ +182% |
| Humana | Medicare|All Plans | $3,862.35 | ↑ +193% |
| MultiPlan | Commercial|All Plans | $3,890.97 | ↑ +195% |
| United | Medicare|All Plans | $3,898.44 | ↑ +195% |
| Molina | Medicare|All Plans | $3,898.44 | ↑ +195% |
| Amerigroup | Medicare|All Plans | $3,934.54 | ↑ +198% |
| Seattle Medical Group | Medicare|All Plans | $4,151.12 | ↑ +214% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +245% |
| First Choice | Commercial|All Plans | $5,867.68 | ↑ +344% |
| Sound Family Medicine | Commercial|All Plans | $6,858.37 | ↑ +420% |
| Molina | Commercial|Marketplace Exchange | $6,930.57 | ↑ +425% |
| Coordinated Care | Commercial|Ambetter Exchange | $7,147.15 | ↑ +441% |
| Uniform Medical Plan | Commercial|All Plans | $7,957.10 | ↑ +503% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $8,629.03 | ↑ +554% |
| BCBS - Regence | Commercial|All Plans | $9,124.02 | ↑ +591% |
| BCBS - Premera | Commercial|All Other Plans | $9,762.60 | ↑ +640% |
| Aetna | Commercial|AWH | $12,561.65 | ↑ +852% |
| United | Commercial|All Other Plans | $14,556.33 | ↑ +1003% |
| United | Commercial|Cascade Care | $14,556.33 | ↑ +1003% |
| Aetna | Commercial|All Other Plans | $14,799.65 | ↑ +1021% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $4,256.70 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $7,764.48 | $3,839.27 – $12,755.94 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $6,736.10 | $3,694.56 – $9,402.66 |
| Swedish Medical Center Cherry Hill | Seattle | $7,764.48 | $3,839.27 – $12,284.47 |
| Swedish Issaquah | Issaquah | $7,764.48 | $3,850.04 – $12,755.94 |
| Providence Centralia Hospital | Centralia | $6,572.28 | $3,839.27 – $15,322.85 |
| Providence Mount Carmel Hospital | Colville | $4,979.10 | not published |
| Providence St Mary Medical Center | Walla Walla | $2,825.20 | $2,852.89 – $6,834.94 |