Ins/rpl pm gen exist dual lead 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.
$5,528.66 with Kaiser vs $47,758.15 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 | $5,528.66 | ↑ +41% |
| Cigna | Commercial|All Plans | $6,630.00 | ↑ +69% |
| 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 | $11,648.33 | ↑ +197% |
| Kaiser | Medicare|All Plans | $11,648.33 | ↑ +197% |
| Optum | Medicare|All Plans | $11,764.81 | ↑ +200% |
| BCBS - Regence | Medicare|All Plans | $11,997.78 | ↑ +206% |
| Aetna | Medicare|All Plans | $11,997.78 | ↑ +206% |
| BCBS - Premera | Medicare|All Plans | $11,997.78 | ↑ +206% |
| Humana | Medicare|All Plans | $12,463.71 | ↑ +217% |
| United | Medicare|All Plans | $12,580.20 | ↑ +220% |
| Molina | Medicare|All Plans | $12,580.20 | ↑ +220% |
| Amerigroup | Medicare|All Plans | $12,696.68 | ↑ +223% |
| Seattle Medical Group | Medicare|All Plans | $13,395.58 | ↑ +241% |
| Sound Family Medicine | Commercial|All Plans | $22,131.83 | ↑ +464% |
| Molina | Commercial|Marketplace Exchange | $22,364.79 | ↑ +470% |
| Coordinated Care | Commercial|Ambetter Exchange | $23,063.69 | ↑ +487% |
| Uniform Medical Plan | Commercial|All Plans | $26,390.75 | ↑ +572% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $28,619.26 | ↑ +629% |
| BCBS - Regence | Commercial|All Plans | $30,261.00 | ↑ +671% |
| BCBS - Premera | Commercial|All Other Plans | $32,378.88 | ↑ +725% |
| First Choice | Commercial|All Plans | $35,927.58 | ↑ +815% |
| Aetna | Commercial|AWH | $40,536.19 | ↑ +932% |
| United | Commercial|Cascade Care | $46,973.03 | ↑ +1096% |
| United | Commercial|All Other Plans | $46,973.03 | ↑ +1096% |
| Aetna | Commercial|All Other Plans | $47,758.15 | ↑ +1116% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $11,916.96 | $7,277.00 – $49,926.95 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $29,502.20 | $9,231.00 – $31,781.01 |
| Swedish Medical Center Cherry Hill | Seattle | $11,916.96 | $7,277.00 – $48,081.60 |
| Swedish Issaquah | Issaquah | $11,916.96 | $7,277.00 – $49,926.95 |
| Central Medical Center | Seattle | $25,429.60 | not published |
| Providence St Mary Medical Center | Walla Walla | $7,404.60 | $9,461.97 – $21,547.18 |
| Kadlec Regional Medical Center | Richland | $12,946.50 | $571.99 – $38,034.70 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $10,216.44 | $9,161.00 – $38,854.85 |