Repair pm/icd lead dual at St. Anne Hospital
16251 Sylvester Rd SW, Burien, WA · Vmfh · · NPI 1558333682
$1,917.65
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.
$6,280.03
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 $16,607.83 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 | $2,700.42 | ↑ +41% |
| Kaiser | Commercial|HMO | $3,768.02 | ↑ +96% |
| Kaiser | Medicare|All Plans | $4,050.69 | ↑ +111% |
| SoundPath | Medicare|All Plans | $4,050.69 | ↑ +111% |
| Optum | Medicare|All Plans | $4,091.20 | ↑ +113% |
| BCBS - Premera | Medicare|All Plans | $4,172.21 | ↑ +118% |
| BCBS - Regence | Medicare|All Plans | $4,172.21 | ↑ +118% |
| Aetna | Medicare|All Plans | $4,172.21 | ↑ +118% |
| Humana | Medicare|All Plans | $4,334.24 | ↑ +126% |
| Molina | Medicare|All Plans | $4,374.75 | ↑ +128% |
| United | Medicare|All Plans | $4,374.75 | ↑ +128% |
| Amerigroup | Medicare|All Plans | $4,415.25 | ↑ +130% |
| Aetna | Commercial|Rental | $4,521.63 | ↑ +136% |
| Seattle Medical Group | Medicare|All Plans | $4,658.29 | ↑ +143% |
| MultiPlan | Commercial|All Plans | $5,652.03 | ↑ +195% |
| Sound Family Medicine | Commercial|All Plans | $7,696.31 | ↑ +301% |
| Molina | Commercial|Marketplace Exchange | $7,777.32 | ↑ +306% |
| First Choice | Commercial|All Plans | $7,923.57 | ↑ +313% |
| Coordinated Care | Commercial|Ambetter Exchange | $8,020.37 | ↑ +318% |
| Uniform Medical Plan | Commercial|All Plans | $9,705.39 | ↑ +406% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $10,524.93 | ↑ +449% |
| BCBS - Regence | Commercial|All Plans | $11,128.70 | ↑ +480% |
| BCBS - Premera | Commercial|All Other Plans | $11,907.56 | ↑ +521% |
| Aetna | Commercial|AWH | $14,096.40 | ↑ +635% |
| United | Commercial|All Other Plans | $16,334.79 | ↑ +752% |
| United | Commercial|Cascade Care | $16,334.79 | ↑ +752% |
| Aetna | Commercial|All Other Plans | $16,607.83 | ↑ +766% |
Visitor-reported prices
Comments
Repair pm/icd lead dual at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $8,626.56 | $4,327.36 – $14,024.85 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $4,933.60 | $4,164.26 – $10,598.04 |
| Swedish Medical Center Cherry Hill | Seattle | $8,626.56 | $4,327.36 – $13,577.25 |
| Swedish Issaquah | Issaquah | $8,626.56 | $4,339.50 – $14,024.85 |
| Central Medical Center | Seattle | $9,351.20 | not published |
| Providence St Mary Medical Center | Walla Walla | $3,549.00 | $3,479.71 – $13,547.41 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $2,875.08 | $4,255.66 – $11,637.64 |
| MultiCare Valley Hospital | Spokane Valley | $5,498.40 | $1,152.66 – $14,911.64 |