Lysis of labial adhesions at St. Anne Hospital
16251 Sylvester Rd SW, Burien, WA · Vmfh · · NPI 1558333682
$1,424.93
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.
$4,666.45
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.
$2,006.58 with Kaiser vs $14,509.65 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 | $2,006.58 | ↑ +41% |
| Kaiser | Commercial|HMO | $2,799.87 | ↑ +96% |
| Aetna | Commercial|Rental | $3,359.85 | ↑ +136% |
| Kaiser | Medicare|All Plans | $3,538.94 | ↑ +148% |
| SoundPath | Medicare|All Plans | $3,538.94 | ↑ +148% |
| Optum | Medicare|All Plans | $3,574.33 | ↑ +151% |
| BCBS - Premera | Medicare|All Plans | $3,645.11 | ↑ +156% |
| Aetna | Medicare|All Plans | $3,645.11 | ↑ +156% |
| BCBS - Regence | Medicare|All Plans | $3,645.11 | ↑ +156% |
| Humana | Medicare|All Plans | $3,786.67 | ↑ +166% |
| Molina | Medicare|All Plans | $3,822.06 | ↑ +168% |
| United | Medicare|All Plans | $3,822.06 | ↑ +168% |
| Amerigroup | Medicare|All Plans | $3,857.44 | ↑ +171% |
| Seattle Medical Group | Medicare|All Plans | $4,069.78 | ↑ +186% |
| MultiPlan | Commercial|All Plans | $4,199.81 | ↑ +195% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +220% |
| Sound Family Medicine | Commercial|All Plans | $6,723.99 | ↑ +372% |
| Molina | Commercial|Marketplace Exchange | $6,794.76 | ↑ +377% |
| Coordinated Care | Commercial|Ambetter Exchange | $7,007.10 | ↑ +392% |
| First Choice | Commercial|All Plans | $7,177.73 | ↑ +404% |
| Uniform Medical Plan | Commercial|All Plans | $7,726.63 | ↑ +442% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $8,379.10 | ↑ +488% |
| BCBS - Regence | Commercial|All Plans | $8,859.76 | ↑ +522% |
| BCBS - Premera | Commercial|All Other Plans | $9,479.84 | ↑ +565% |
| Aetna | Commercial|AWH | $12,315.51 | ↑ +764% |
| United | Commercial|All Other Plans | $14,271.12 | ↑ +902% |
| United | Commercial|Cascade Care | $14,271.12 | ↑ +902% |
| Aetna | Commercial|All Other Plans | $14,509.65 | ↑ +918% |
Visitor-reported prices
Comments
Lysis of labial adhesions at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $7,416.00 | $3,748.56 – $12,165.75 |
| Swedish Medical Center Cherry Hill | Seattle | $7,416.00 | $3,748.56 – $11,716.09 |
| Swedish Issaquah | Issaquah | $7,416.00 | $3,759.08 – $12,165.75 |
| St. Michael Medical Center | Silverdale | $2,059.53 | $2,939.87 – $13,325.72 |
| St. Anthony Hospital | Gig Harbor | $1,419.30 | $3,359.85 – $7,693.18 |
| MultiCare Auburn Medical Center | Auburn | $5,492.00 | $1,689.02 – $15,538.94 |
| MultiCare Good Samaritan Hospital | Puyallup | $5,492.00 | $1,728.07 – $15,538.94 |
| St. Joseph Medical Center | Tacoma | $1,545.52 | $3,359.85 – $7,693.18 |