Fitting of diaphragm/cap 57170 at St. Anthony Hospital
11567 Canterwood Blvd, Gig Harbor, WA · Vmfh · · NPI 1447406699
not published by hospital
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.
not published by hospital
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.
$49.74 with First Choice vs $1,003.24 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 |
|---|---|---|---|
| First Choice | Commercial|All Plans | $49.74 | — |
| Kaiser | Medicare|All Plans | $228.01 | — |
| SoundPath | Medicare|All Plans | $228.01 | — |
| Optum | Medicare|All Plans | $230.29 | — |
| BCBS - Premera | Medicare|All Plans | $234.85 | — |
| Aetna | Medicare|All Plans | $234.85 | — |
| BCBS - Regence | Medicare|All Plans | $234.85 | — |
| Humana | Medicare|All Plans | $243.97 | — |
| Molina | Medicare|All Plans | $246.25 | — |
| United | Medicare|All Plans | $246.25 | — |
| Amerigroup | Medicare|All Plans | $248.53 | — |
| Seattle Medical Group | Medicare|All Plans | $262.21 | — |
| CHPW | Medicare|All Plans | $262.21 | — |
| Sound Family Medicine | Commercial|All Plans | $433.22 | — |
| Molina | Commercial|Marketplace Exchange | $437.78 | — |
| Coordinated Care | Commercial|Ambetter Exchange | $451.46 | — |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $461.29 | — |
| Kaiser | Commercial|HMO | $484.67 | — |
| Uniform Medical Plan | Commercial|All Plans | $509.05 | — |
| Kaiser | Commercial|PPO | $533.18 | — |
| BCBS - Regence | Commercial|All Plans | $586.46 | — |
| BCBS - Premera | Commercial|All Other Plans | $666.83 | — |
| United | Commercial|Navigate | $719.52 | — |
| United | Commercial|All Other Plans | $757.40 | — |
| United | Commercial|Cascade Care | $757.40 | — |
| Aetna | Commercial|AWH | $852.76 | — |
| Aetna | Commercial|All Other Plans | $1,003.24 | — |
| Aetna | Commercial|Rental | not published by hospital | — |
| Cigna | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Fitting of diaphragm/cap 57170 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $537.60 | $234.11 – $780.44 |
| Swedish Medical Center Cherry Hill | Seattle | $537.60 | $234.11 – $755.53 |
| Swedish Issaquah | Issaquah | $537.60 | $234.77 – $780.44 |
| Virginia Mason Medical Center | Seattle | $306.51 | $2.24 – $229.44 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $225.29 – $573.36 |
| Central Medical Center | Seattle | not published | not published |
| Providence Centralia Hospital | Centralia | not published | $234.11 – $971.39 |
| Swedish Edmonds Hospital | Edmonds | not published | $230.23 – $747.23 |