Incision of breast lesion at St. Anne Hospital
16251 Sylvester Rd SW, Burien, WA · Vmfh · · NPI 1558333682
$950.88
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.
$3,114.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$1,339.02 with Kaiser vs $7,393.90 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 | $1,339.02 | ↑ +41% |
| SoundPath | Medicare|All Plans | $1,803.39 | ↑ +90% |
| Kaiser | Medicare|All Plans | $1,803.39 | ↑ +90% |
| Optum | Medicare|All Plans | $1,821.42 | ↑ +92% |
| BCBS - Regence | Medicare|All Plans | $1,857.49 | ↑ +95% |
| Aetna | Medicare|All Plans | $1,857.49 | ↑ +95% |
| BCBS - Premera | Medicare|All Plans | $1,857.49 | ↑ +95% |
| Kaiser | Commercial|HMO | $1,868.40 | ↑ +96% |
| Humana | Medicare|All Plans | $1,929.63 | ↑ +103% |
| Molina | Medicare|All Plans | $1,947.66 | ↑ +105% |
| United | Medicare|All Plans | $1,947.66 | ↑ +105% |
| Amerigroup | Medicare|All Plans | $1,965.70 | ↑ +107% |
| Seattle Medical Group | Medicare|All Plans | $2,073.90 | ↑ +118% |
| Aetna | Commercial|Rental | $2,242.08 | ↑ +136% |
| MultiPlan | Commercial|All Plans | $2,802.60 | ↑ +195% |
| Sound Family Medicine | Commercial|All Plans | $3,426.44 | ↑ +260% |
| Molina | Commercial|Marketplace Exchange | $3,462.51 | ↑ +264% |
| Coordinated Care | Commercial|Ambetter Exchange | $3,570.71 | ↑ +276% |
| Uniform Medical Plan | Commercial|All Plans | $4,006.93 | ↑ +321% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $4,345.28 | ↑ +357% |
| BCBS - Regence | Commercial|All Plans | $4,594.55 | ↑ +383% |
| BCBS - Premera | Commercial|All Other Plans | $4,916.10 | ↑ +417% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +523% |
| Aetna | Commercial|AWH | $6,275.80 | ↑ +560% |
| First Choice | Commercial|All Plans | $7,149.78 | ↑ +652% |
| United | Commercial|All Other Plans | $7,272.34 | ↑ +665% |
| United | Commercial|Cascade Care | $7,272.34 | ↑ +665% |
| Aetna | Commercial|All Other Plans | $7,393.90 | ↑ +678% |
Visitor-reported prices
Comments
Incision of breast lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $1,834.70 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $5,494.30 | $1,840.45 – $4,683.94 |
| Central Medical Center | Seattle | $3,539.20 | not published |
| Providence Centralia Hospital | Centralia | $3,463.72 | $1,912.53 – $8,029.71 |
| Providence Mount Carmel Hospital | Colville | $2,197.30 | not published |
| Providence St Mary Medical Center | Walla Walla | $3,152.10 | $1,436.62 – $3,404.83 |
| Kadlec Regional Medical Center | Richland | $4,598.30 | $534.12 – $5,092.35 |
| Providence Holy Family Hospital | Spokane | $5,940.20 | $1,840.45 – $6,462.00 |