Aco cont gluc mnt phys/qhp eqp 95250aco at St. Anthony Hospital
11567 Canterwood Blvd, Gig Harbor, WA · Vmfh · · NPI 1447406699
$210.01
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.
?
What you pay up front if you don't use insurance.
$690.46
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.
?
The hospital's undiscounted list price — almost no one pays this.
$128.34 with Aetna vs $867.23 with First Choice — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Commercial|Rental | $128.34 | ↓ -39% |
| MultiPlan | Commercial|All Plans | $133.69 | ↓ -36% |
| SoundPath | Medicare|All Plans | $146.07 | ↓ -30% |
| Kaiser | Medicare|All Plans | $146.07 | ↓ -30% |
| Optum | Medicare|All Plans | $147.53 | ↓ -30% |
| Aetna | Medicare|All Plans | $150.45 | ↓ -28% |
| BCBS - Premera | Medicare|All Plans | $150.45 | ↓ -28% |
| BCBS - Regence | Medicare|All Plans | $150.45 | ↓ -28% |
| Humana | Medicare|All Plans | $156.29 | ↓ -26% |
| Molina | Medicare|All Plans | $157.76 | ↓ -25% |
| United | Medicare|All Plans | $157.76 | ↓ -25% |
| Amerigroup | Medicare|All Plans | $159.22 | ↓ -24% |
| CHPW | Medicare|All Plans | $167.98 | ↓ -20% |
| Seattle Medical Group | Medicare|All Plans | $167.98 | ↓ -20% |
| Sound Family Medicine | Commercial|All Plans | $277.53 | ↑ +32% |
| Molina | Commercial|Marketplace Exchange | $280.45 | ↑ +34% |
| Coordinated Care | Commercial|Ambetter Exchange | $289.22 | ↑ +38% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $306.01 | ↑ +46% |
| Kaiser | Commercial|HMO | $328.85 | ↑ +57% |
| Uniform Medical Plan | Commercial|All Plans | $337.70 | ↑ +61% |
| Kaiser | Commercial|PPO | $361.76 | ↑ +72% |
| BCBS - Regence | Commercial|All Plans | $389.05 | ↑ +85% |
| BCBS - Premera | Commercial|All Other Plans | $442.37 | ↑ +111% |
| United | Commercial|Navigate | $460.90 | ↑ +119% |
| United | Commercial|Cascade Care | $485.17 | ↑ +131% |
| United | Commercial|All Other Plans | $485.17 | ↑ +131% |
| Aetna | Commercial|AWH | $546.30 | ↑ +160% |
| Aetna | Commercial|All Other Plans | $642.71 | ↑ +206% |
| First Choice | Commercial|All Plans | $867.23 | ↑ +313% |
Visitor-reported prices
Comments
Aco cont gluc mnt phys/qhp eqp 95250aco at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $96.00 | $154.17 – $544.87 |
| Swedish Medical Center Cherry Hill | Seattle | $96.00 | $154.17 – $486.91 |
| Swedish Issaquah | Issaquah | $96.00 | $154.60 – $544.87 |
| Swedish Edmonds Hospital | Edmonds | $96.00 | $151.62 – $475.31 |
| Providence St Mary Medical Center | Walla Walla | $809.90 | $117.13 – $274.47 |
| Kadlec Regional Medical Center | Richland | $554.40 | $148.36 – $453.29 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $104.00 | $151.62 – $486.91 |
| MultiCare Yakima Memorial Hospital | Yakima | $173.60 | $158.83 – $411.43 |