Ins pm gen w/exist mlt leads at St. Anne Hospital
16251 Sylvester Rd SW, Burien, WA · Vmfh · · NPI 1558333682
$3,926.06
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.
$12,857.33
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.
$0.70 with Cigna vs $87,030.54 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.70 | ↓ -100% |
| Kaiser | Commercial|PPO | $5,528.66 | ↑ +41% |
| Kaiser | Commercial|HMO | $7,714.40 | ↑ +96% |
| Aetna | Commercial|Rental | $9,257.28 | ↑ +136% |
| MultiPlan | Commercial|All Plans | $11,571.60 | ↑ +195% |
| SoundPath | Medicare|All Plans | $21,226.96 | ↑ +441% |
| Kaiser | Medicare|All Plans | $21,226.96 | ↑ +441% |
| Optum | Medicare|All Plans | $21,439.23 | ↑ +446% |
| BCBS - Regence | Medicare|All Plans | $21,863.77 | ↑ +457% |
| Aetna | Medicare|All Plans | $21,863.77 | ↑ +457% |
| BCBS - Premera | Medicare|All Plans | $21,863.77 | ↑ +457% |
| Humana | Medicare|All Plans | $22,712.85 | ↑ +479% |
| United | Medicare|All Plans | $22,925.12 | ↑ +484% |
| Molina | Medicare|All Plans | $22,925.12 | ↑ +484% |
| Amerigroup | Medicare|All Plans | $23,137.39 | ↑ +489% |
| Seattle Medical Group | Medicare|All Plans | $24,411.00 | ↑ +522% |
| First Choice | Commercial|All Plans | $35,927.58 | ↑ +815% |
| Sound Family Medicine | Commercial|All Plans | $40,331.22 | ↑ +927% |
| Molina | Commercial|Marketplace Exchange | $40,755.76 | ↑ +938% |
| Coordinated Care | Commercial|Ambetter Exchange | $42,029.38 | ↑ +971% |
| Uniform Medical Plan | Commercial|All Plans | $48,156.66 | ↑ +1127% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $52,223.14 | ↑ +1230% |
| BCBS - Regence | Commercial|All Plans | $55,218.92 | ↑ +1306% |
| BCBS - Premera | Commercial|All Other Plans | $59,083.53 | ↑ +1405% |
| Aetna | Commercial|AWH | $73,869.82 | ↑ +1782% |
| United | Commercial|All Other Plans | $85,599.83 | ↑ +2080% |
| United | Commercial|Cascade Care | $85,599.83 | ↑ +2080% |
| Aetna | Commercial|All Other Plans | $87,030.54 | ↑ +2117% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $18,958.08 | $7,277.00 – $89,185.38 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $30,956.80 | $5,419.00 – $56,770.98 |
| Swedish Medical Center Cherry Hill | Seattle | $18,958.08 | $7,277.00 – $85,889.00 |
| Swedish Issaquah | Issaquah | $18,958.08 | $7,277.00 – $89,185.38 |
| Providence St Mary Medical Center | Walla Walla | $8,660.40 | $16,398.00 – $39,708.69 |
| Kadlec Regional Medical Center | Richland | $13,737.50 | $613.87 – $67,942.05 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $20,520.24 | $7,246.00 – $69,407.10 |
| MultiCare Valley Hospital | Spokane Valley | $19,143.60 | $5,629.66 – $83,090.44 |