Biopsy of prostate at St. Anthony Hospital
11567 Canterwood Blvd, Gig Harbor, WA · Vmfh · · NPI 1447406699
$1,572.45
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.
$5,170.00
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.
$2,321.86 with Kaiser vs $10,216.18 with Aetna — 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $2,321.86 | ↑ +48% |
| SoundPath | Medicare|All Plans | $2,321.86 | ↑ +48% |
| Optum | Medicare|All Plans | $2,345.08 | ↑ +49% |
| BCBS - Premera | Medicare|All Plans | $2,391.52 | ↑ +52% |
| BCBS - Regence | Medicare|All Plans | $2,391.52 | ↑ +52% |
| Aetna | Medicare|All Plans | $2,391.52 | ↑ +52% |
| Humana | Medicare|All Plans | $2,484.39 | ↑ +58% |
| Molina | Medicare|All Plans | $2,507.61 | ↑ +59% |
| United | Medicare|All Plans | $2,507.61 | ↑ +59% |
| Amerigroup | Medicare|All Plans | $2,530.83 | ↑ +61% |
| Seattle Medical Group | Medicare|All Plans | $2,670.14 | ↑ +70% |
| CHPW | Medicare|All Plans | $2,670.14 | ↑ +70% |
| Aetna | Commercial|Rental | $3,722.40 | ↑ +137% |
| MultiPlan | Commercial|All Plans | $3,877.50 | ↑ +147% |
| Sound Family Medicine | Commercial|All Plans | $4,411.53 | ↑ +181% |
| Molina | Commercial|Marketplace Exchange | $4,457.97 | ↑ +184% |
| Coordinated Care | Commercial|Ambetter Exchange | $4,597.28 | ↑ +192% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $4,714.95 | ↑ +200% |
| Kaiser | Commercial|HMO | $5,046.94 | ↑ +221% |
| Uniform Medical Plan | Commercial|All Plans | $5,203.30 | ↑ +231% |
| First Choice | Commercial|All Plans | $5,257.16 | ↑ +234% |
| Kaiser | Commercial|PPO | $5,552.03 | ↑ +253% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +276% |
| BCBS - Regence | Commercial|All Plans | $5,994.50 | ↑ +281% |
| BCBS - Premera | Commercial|All Other Plans | $6,815.91 | ↑ +333% |
| United | Commercial|Navigate | $7,326.65 | ↑ +366% |
| United | Commercial|Cascade Care | $7,712.37 | ↑ +390% |
| United | Commercial|All Other Plans | $7,712.37 | ↑ +390% |
| Aetna | Commercial|AWH | $8,683.76 | ↑ +452% |
| Aetna | Commercial|All Other Plans | $10,216.18 | ↑ +550% |
Visitor-reported prices
Comments
Biopsy of prostate at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $1,144.50 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $5,869.44 | $5,425.12 – $8,627.45 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,735.20 | $4,091.32 – $16,508.00 |
| Swedish Medical Center Cherry Hill | Seattle | $5,869.44 | $5,425.12 – $8,308.57 |
| Swedish Issaquah | Issaquah | $5,869.44 | $4,503.96 – $10,403.00 |
| Providence Mount Carmel Hospital | Colville | $1,477.70 | not published |
| Providence St Mary Medical Center | Walla Walla | $3,922.10 | $1,804.81 – $13,809.00 |
| Kadlec Regional Medical Center | Richland | $2,400.30 | $216.87 – $10,013.00 |