Injection of sinus tract at St. Anne Hospital
16251 Sylvester Rd SW, Burien, WA · Vmfh · · NPI 1558333682
$554.38
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.
$1,815.50
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.
$780.67 with Kaiser vs $6,759.75 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 | $780.67 | ↑ +41% |
| Kaiser | Commercial|HMO | $1,089.30 | ↑ +96% |
| Cigna | Commercial|All Plans | $1,252.70 | ↑ +126% |
| Aetna | Commercial|Rental | $1,307.16 | ↑ +136% |
| MultiPlan | Commercial|All Plans | $1,633.95 | ↑ +195% |
| SoundPath | Medicare|All Plans | $1,648.72 | ↑ +197% |
| Kaiser | Medicare|All Plans | $1,648.72 | ↑ +197% |
| Optum | Medicare|All Plans | $1,665.21 | ↑ +200% |
| BCBS - Premera | Medicare|All Plans | $1,698.18 | ↑ +206% |
| BCBS - Regence | Medicare|All Plans | $1,698.18 | ↑ +206% |
| Aetna | Medicare|All Plans | $1,698.18 | ↑ +206% |
| Humana | Medicare|All Plans | $1,764.13 | ↑ +218% |
| United | Medicare|All Plans | $1,780.62 | ↑ +221% |
| Molina | Medicare|All Plans | $1,780.62 | ↑ +221% |
| Amerigroup | Medicare|All Plans | $1,797.10 | ↑ +224% |
| Seattle Medical Group | Medicare|All Plans | $1,896.03 | ↑ +242% |
| First Choice | Commercial|All Plans | $2,593.79 | ↑ +368% |
| Sound Family Medicine | Commercial|All Plans | $3,132.57 | ↑ +465% |
| Molina | Commercial|Marketplace Exchange | $3,165.54 | ↑ +471% |
| Coordinated Care | Commercial|Ambetter Exchange | $3,264.47 | ↑ +489% |
| Uniform Medical Plan | Commercial|All Plans | $3,769.07 | ↑ +580% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $4,087.33 | ↑ +637% |
| BCBS - Regence | Commercial|All Plans | $4,321.81 | ↑ +680% |
| BCBS - Premera | Commercial|All Other Plans | $4,624.28 | ↑ +734% |
| Aetna | Commercial|AWH | $5,737.55 | ↑ +935% |
| United | Commercial|All Other Plans | $6,648.66 | ↑ +1099% |
| United | Commercial|Cascade Care | $6,648.66 | ↑ +1099% |
| Aetna | Commercial|All Other Plans | $6,759.75 | ↑ +1119% |
Visitor-reported prices
Comments
Injection of sinus tract at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $3,697.92 | $1,796.72 – $6,571.29 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,088.80 | $1,729.00 – $4,400.30 |
| Swedish Medical Center Cherry Hill | Seattle | $3,697.92 | $1,796.72 – $6,328.40 |
| Swedish Issaquah | Issaquah | $3,697.92 | $1,801.76 – $6,571.29 |
| Kadlec Regional Medical Center | Richland | $6,776.00 | $146.87 – $5,006.05 |
| Providence Holy Family Hospital | Spokane | $2,261.70 | $1,729.00 – $4,538.62 |
| MultiCare Valley Hospital | Spokane Valley | $2,097.60 | $623.18 – $6,177.22 |
| St. Michael Medical Center | Silverdale | $801.27 | $1,143.77 – $6,542.30 |