Observation direct referral from physician office for admission at St. Anne Hospital
16251 Sylvester Rd SW, Burien, WA · Vmfh · · NPI 1558333682
$261.57
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.
$856.59
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.
$165.00 with First Choice vs $2,797.84 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 |
|---|---|---|---|
| First Choice | Commercial|All Plans | $165.00 | ↓ -37% |
| Kaiser | Commercial|PPO | $368.34 | ↑ +41% |
| Cigna | Commercial|All Plans | $428.30 | ↑ +64% |
| Kaiser | Commercial|HMO | $513.96 | ↑ +96% |
| Aetna | Commercial|Rental | $616.75 | ↑ +136% |
| SoundPath | Medicare|All Plans | $682.40 | ↑ +161% |
| Kaiser | Medicare|All Plans | $682.40 | ↑ +161% |
| Optum | Medicare|All Plans | $689.22 | ↑ +163% |
| BCBS - Premera | Medicare|All Plans | $702.87 | ↑ +169% |
| Aetna | Medicare|All Plans | $702.87 | ↑ +169% |
| BCBS - Regence | Medicare|All Plans | $702.87 | ↑ +169% |
| Humana | Medicare|All Plans | $730.17 | ↑ +179% |
| Molina | Medicare|All Plans | $736.99 | ↑ +182% |
| United | Medicare|All Plans | $736.99 | ↑ +182% |
| Amerigroup | Medicare|All Plans | $743.82 | ↑ +184% |
| MultiPlan | Commercial|All Plans | $770.94 | ↑ +195% |
| Seattle Medical Group | Medicare|All Plans | $784.76 | ↑ +200% |
| Sound Family Medicine | Commercial|All Plans | $1,296.56 | ↑ +396% |
| Molina | Commercial|Marketplace Exchange | $1,310.21 | ↑ +401% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,351.15 | ↑ +417% |
| Uniform Medical Plan | Commercial|All Plans | $1,587.44 | ↑ +507% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $1,721.48 | ↑ +558% |
| BCBS - Regence | Commercial|All Plans | $1,820.24 | ↑ +596% |
| BCBS - Premera | Commercial|All Other Plans | $1,947.63 | ↑ +645% |
| Aetna | Commercial|AWH | $2,374.75 | ↑ +808% |
| United | Commercial|All Other Plans | $2,751.86 | ↑ +952% |
| United | Commercial|Cascade Care | $2,751.86 | ↑ +952% |
| Aetna | Commercial|All Other Plans | $2,797.84 | ↑ +970% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $153.30 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $162.24 | $689.62 – $2,095.06 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,036.00 | $663.63 – $1,688.93 |
| Swedish Medical Center Cherry Hill | Seattle | $162.24 | $689.62 – $1,613.71 |
| Swedish Issaquah | Issaquah | $162.24 | $691.55 – $1,535.25 |
| Providence Centralia Hospital | Centralia | $1,086.80 | $689.62 – $1,275.79 |
| Providence St Mary Medical Center | Walla Walla | $145.60 | $569.15 – $1,227.71 |
| Kadlec Regional Medical Center | Richland | $688.80 | $663.63 – $1,227.71 |