Ghs intermed repair 12.6 - 20.0 cm-12035 at St. Anthony Hospital
11567 Canterwood Blvd, Gig Harbor, WA · Vmfh · · NPI 1447406699
$528.34
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.
$1,737.09
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.
$452.84 with SoundPath vs $5,920.00 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 | $452.84 | ↓ -14% |
| Kaiser | Medicare|All Plans | $452.84 | ↓ -14% |
| Optum | Medicare|All Plans | $457.37 | ↓ -13% |
| Aetna | Medicare|All Plans | $466.43 | ↓ -12% |
| BCBS - Regence | Medicare|All Plans | $466.43 | ↓ -12% |
| BCBS - Premera | Medicare|All Plans | $466.43 | ↓ -12% |
| Humana | Medicare|All Plans | $484.54 | ↓ -8% |
| United | Medicare|All Plans | $489.07 | ↓ -7% |
| Molina | Medicare|All Plans | $489.07 | ↓ -7% |
| Amerigroup | Medicare|All Plans | $493.60 | ↓ -7% |
| CHPW | Medicare|All Plans | $520.77 | ↓ -1% |
| Seattle Medical Group | Medicare|All Plans | $520.77 | ↓ -1% |
| Sound Family Medicine | Commercial|All Plans | $860.40 | ↑ +63% |
| Molina | Commercial|Marketplace Exchange | $869.45 | ↑ +65% |
| Coordinated Care | Commercial|Ambetter Exchange | $896.62 | ↑ +70% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $923.04 | ↑ +75% |
| Kaiser | Commercial|HMO | $1,015.09 | ↑ +92% |
| Uniform Medical Plan | Commercial|All Plans | $1,018.64 | ↑ +93% |
| Kaiser | Commercial|PPO | $1,116.67 | ↑ +111% |
| BCBS - Regence | Commercial|All Plans | $1,173.53 | ↑ +122% |
| First Choice | Commercial|All Plans | $1,236.95 | ↑ +134% |
| Aetna | Commercial|Rental | $1,250.71 | ↑ +137% |
| MultiPlan | Commercial|All Plans | $1,302.82 | ↑ +147% |
| BCBS - Premera | Commercial|All Other Plans | $1,334.34 | ↑ +153% |
| United | Commercial|Navigate | $1,428.95 | ↑ +170% |
| United | Commercial|All Other Plans | $1,504.18 | ↑ +185% |
| United | Commercial|Cascade Care | $1,504.18 | ↑ +185% |
| Aetna | Commercial|AWH | $1,693.62 | ↑ +221% |
| Aetna | Commercial|All Other Plans | $1,992.50 | ↑ +277% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +1020% |
Visitor-reported prices
Comments
Ghs intermed repair 12.6 - 20.0 cm-12035 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $482.30 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $1,035.36 | $470.74 – $1,501.70 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,442.00 | $453.00 – $1,152.88 |
| Swedish Medical Center Cherry Hill | Seattle | $1,035.36 | $470.74 – $1,453.77 |
| Swedish Issaquah | Issaquah | $1,035.36 | $472.06 – $1,501.70 |
| Providence Centralia Hospital | Centralia | $950.04 | $470.74 – $1,869.13 |
| Providence Mount Carmel Hospital | Colville | $482.30 | not published |
| Providence St Mary Medical Center | Walla Walla | $715.40 | $353.33 – $1,450.58 |