Core ndl bx lng/med perq at St. Anthony Hospital
11567 Canterwood Blvd, Gig Harbor, WA · Vmfh · · NPI 1447406699
$2,016.43
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.
$6,629.72
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.
$1,836.44 with SoundPath vs $8,080.34 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 |
|---|---|---|---|
| SoundPath | Medicare|All Plans | $1,836.44 | ↓ -9% |
| Kaiser | Medicare|All Plans | $1,836.44 | ↓ -9% |
| Optum | Medicare|All Plans | $1,854.80 | ↓ -8% |
| BCBS - Premera | Medicare|All Plans | $1,891.53 | ↓ -6% |
| Aetna | Medicare|All Plans | $1,891.53 | ↓ -6% |
| BCBS - Regence | Medicare|All Plans | $1,891.53 | ↓ -6% |
| Humana | Medicare|All Plans | $1,964.99 | ↓ -3% |
| Molina | Medicare|All Plans | $1,983.36 | ↓ -2% |
| United | Medicare|All Plans | $1,983.36 | ↓ -2% |
| Amerigroup | Medicare|All Plans | $2,001.72 | ↓ -1% |
| CHPW | Medicare|All Plans | $2,111.91 | ↑ +5% |
| Seattle Medical Group | Medicare|All Plans | $2,111.91 | ↑ +5% |
| Sound Family Medicine | Commercial|All Plans | $3,489.24 | ↑ +73% |
| Molina | Commercial|Marketplace Exchange | $3,525.96 | ↑ +75% |
| Coordinated Care | Commercial|Ambetter Exchange | $3,636.15 | ↑ +80% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $3,753.06 | ↑ +86% |
| Kaiser | Commercial|HMO | $4,080.13 | ↑ +102% |
| Uniform Medical Plan | Commercial|All Plans | $4,141.78 | ↑ +105% |
| Kaiser | Commercial|PPO | $4,488.45 | ↑ +123% |
| BCBS - Regence | Commercial|All Plans | $4,771.58 | ↑ +137% |
| Aetna | Commercial|Rental | $4,773.40 | ↑ +137% |
| MultiPlan | Commercial|All Plans | $4,972.29 | ↑ +147% |
| BCBS - Premera | Commercial|All Other Plans | $5,425.41 | ↑ +169% |
| United | Commercial|Navigate | $5,794.90 | ↑ +187% |
| United | Commercial|All Other Plans | $6,099.99 | ↑ +203% |
| United | Commercial|Cascade Care | $6,099.99 | ↑ +203% |
| Aetna | Commercial|AWH | $6,868.29 | ↑ +241% |
| Aetna | Commercial|All Other Plans | $8,080.34 | ↑ +301% |
Visitor-reported prices
Comments
Core ndl bx lng/med perq at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $2,244.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $5,077.44 | $1,912.53 – $5,810.27 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,609.20 | $1,840.45 – $4,683.94 |
| Swedish Medical Center Cherry Hill | Seattle | $5,077.44 | $1,912.53 – $4,475.33 |
| Swedish Issaquah | Issaquah | $5,077.44 | $1,917.90 – $4,257.73 |
| Central Medical Center | Seattle | $4,720.00 | not published |
| Providence Centralia Hospital | Centralia | $3,502.72 | $1,912.53 – $3,538.19 |
| Providence Mount Carmel Hospital | Colville | $2,624.30 | not published |