Proctosigmoidoscopy dx 45300 at St. Anne Hospital
16251 Sylvester Rd SW, Burien, WA · Vmfh · · NPI 1558333682
$342.60
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.
$1,121.97
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.
$482.45 with Kaiser vs $4,556.00 with Cigna — 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 | $482.45 | ↑ +41% |
| Kaiser | Commercial|HMO | $673.19 | ↑ +96% |
| Aetna | Commercial|Rental | $807.82 | ↑ +136% |
| MultiPlan | Commercial|All Plans | $1,009.78 | ↑ +195% |
| Kaiser | Medicare|All Plans | $1,014.77 | ↑ +196% |
| SoundPath | Medicare|All Plans | $1,014.77 | ↑ +196% |
| Optum | Medicare|All Plans | $1,024.92 | ↑ +199% |
| BCBS - Regence | Medicare|All Plans | $1,045.21 | ↑ +205% |
| BCBS - Premera | Medicare|All Plans | $1,045.21 | ↑ +205% |
| Aetna | Medicare|All Plans | $1,045.21 | ↑ +205% |
| Humana | Medicare|All Plans | $1,085.80 | ↑ +217% |
| United | Medicare|All Plans | $1,095.95 | ↑ +220% |
| Molina | Medicare|All Plans | $1,095.95 | ↑ +220% |
| Amerigroup | Medicare|All Plans | $1,106.10 | ↑ +223% |
| Seattle Medical Group | Medicare|All Plans | $1,166.99 | ↑ +241% |
| Sound Family Medicine | Commercial|All Plans | $1,928.06 | ↑ +463% |
| Molina | Commercial|Marketplace Exchange | $1,948.36 | ↑ +469% |
| Coordinated Care | Commercial|Ambetter Exchange | $2,009.24 | ↑ +486% |
| First Choice | Commercial|All Plans | $2,165.88 | ↑ +532% |
| Uniform Medical Plan | Commercial|All Plans | $2,258.79 | ↑ +559% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $2,449.54 | ↑ +615% |
| BCBS - Regence | Commercial|All Plans | $2,590.05 | ↑ +656% |
| BCBS - Premera | Commercial|All Other Plans | $2,771.33 | ↑ +709% |
| Aetna | Commercial|AWH | $3,531.40 | ↑ +931% |
| United | Commercial|Cascade Care | $4,092.15 | ↑ +1094% |
| United | Commercial|All Other Plans | $4,092.15 | ↑ +1094% |
| Aetna | Commercial|All Other Plans | $4,160.56 | ↑ +1114% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +1230% |
Visitor-reported prices
Comments
Proctosigmoidoscopy dx 45300 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $737.80 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $848.64 | $1,076.88 – $3,590.24 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $742.00 | $1,036.29 – $2,637.37 |
| Swedish Medical Center Cherry Hill | Seattle | $848.64 | $1,076.88 – $3,475.65 |
| Swedish Issaquah | Issaquah | $848.64 | $1,079.90 – $3,590.24 |
| Providence Centralia Hospital | Centralia | $1,642.16 | $1,076.88 – $4,468.70 |
| Providence Mount Carmel Hospital | Colville | $665.70 | not published |
| Providence St Mary Medical Center | Walla Walla | $1,394.40 | $809.85 – $3,468.02 |