Drainage of mouth lesion at St. Anthony Hospital
11567 Canterwood Blvd, Gig Harbor, WA · Vmfh · · NPI 1447406699
$315.59
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.
$1,037.60
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.
$577.20 with SoundPath 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 |
|---|---|---|---|
| SoundPath | Medicare|All Plans | $577.20 | ↑ +83% |
| Kaiser | Medicare|All Plans | $577.20 | ↑ +83% |
| Optum | Medicare|All Plans | $582.97 | ↑ +85% |
| BCBS - Premera | Medicare|All Plans | $594.52 | ↑ +88% |
| Aetna | Medicare|All Plans | $594.52 | ↑ +88% |
| BCBS - Regence | Medicare|All Plans | $594.52 | ↑ +88% |
| Humana | Medicare|All Plans | $617.60 | ↑ +96% |
| Molina | Medicare|All Plans | $623.38 | ↑ +98% |
| United | Medicare|All Plans | $623.38 | ↑ +98% |
| Amerigroup | Medicare|All Plans | $629.15 | ↑ +99% |
| CHPW | Medicare|All Plans | $663.78 | ↑ +110% |
| Seattle Medical Group | Medicare|All Plans | $663.78 | ↑ +110% |
| Aetna | Commercial|Rental | $747.08 | ↑ +137% |
| MultiPlan | Commercial|All Plans | $778.20 | ↑ +147% |
| Sound Family Medicine | Commercial|All Plans | $1,096.68 | ↑ +248% |
| Molina | Commercial|Marketplace Exchange | $1,108.22 | ↑ +251% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,142.86 | ↑ +262% |
| First Choice | Commercial|All Plans | $1,183.09 | ↑ +275% |
| Kaiser | Commercial|HMO | $1,242.96 | ↑ +294% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $1,273.65 | ↑ +304% |
| Kaiser | Commercial|PPO | $1,367.35 | ↑ +333% |
| Uniform Medical Plan | Commercial|All Plans | $1,405.57 | ↑ +345% |
| BCBS - Regence | Commercial|All Plans | $1,619.29 | ↑ +413% |
| United | Commercial|Navigate | $1,821.38 | ↑ +477% |
| BCBS - Premera | Commercial|All Other Plans | $1,841.19 | ↑ +483% |
| United | Commercial|Cascade Care | $1,917.27 | ↑ +508% |
| United | Commercial|All Other Plans | $1,917.27 | ↑ +508% |
| Aetna | Commercial|AWH | $2,158.73 | ↑ +584% |
| Aetna | Commercial|All Other Plans | $2,539.68 | ↑ +705% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +1344% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Michael Medical Center | Silverdale | $457.95 | $653.69 – $2,152.99 |
| St. Anne Hospital | Burien | $316.84 | $446.17 – $933.84 |
| St. Joseph Medical Center | Tacoma | $343.66 | $747.08 – $1,242.96 |
| St. Elizabeth Hospital | Enumclaw | $366.66 | $176.40 – $933.84 |
| Virginia Mason Medical Center | Seattle | $899.64 | $12.50 – $1,244.64 |
| St. Francis Hospital | Federal Way | $325.63 | $747.08 – $1,242.96 |
| St. Clare Hospital | Lakewood | $299.08 | $747.08 – $1,242.96 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $601.00 – $661.10 |