Ins mark abd/pel for right perq at St. Anthony Hospital
11567 Canterwood Blvd, Gig Harbor, WA · Vmfh · · NPI 1447406699
$1,267.47
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.
$4,167.24
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.
$1,550.84 with Kaiser vs $6,823.70 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $1,550.84 | ↑ +22% |
| SoundPath | Medicare|All Plans | $1,550.84 | ↑ +22% |
| Optum | Medicare|All Plans | $1,566.35 | ↑ +24% |
| BCBS - Regence | Medicare|All Plans | $1,597.37 | ↑ +26% |
| BCBS - Premera | Medicare|All Plans | $1,597.37 | ↑ +26% |
| Aetna | Medicare|All Plans | $1,597.37 | ↑ +26% |
| Humana | Medicare|All Plans | $1,659.40 | ↑ +31% |
| United | Medicare|All Plans | $1,674.91 | ↑ +32% |
| Molina | Medicare|All Plans | $1,674.91 | ↑ +32% |
| Amerigroup | Medicare|All Plans | $1,690.42 | ↑ +33% |
| Seattle Medical Group | Medicare|All Plans | $1,783.47 | ↑ +41% |
| CHPW | Medicare|All Plans | $1,783.47 | ↑ +41% |
| Sound Family Medicine | Commercial|All Plans | $2,946.60 | ↑ +132% |
| Molina | Commercial|Marketplace Exchange | $2,977.61 | ↑ +135% |
| Aetna | Commercial|Rental | $3,000.42 | ↑ +137% |
| Coordinated Care | Commercial|Ambetter Exchange | $3,070.66 | ↑ +142% |
| MultiPlan | Commercial|All Plans | $3,125.43 | ↑ +147% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $3,207.53 | ↑ +153% |
| First Choice | Commercial|All Plans | $3,299.22 | ↑ +160% |
| Uniform Medical Plan | Commercial|All Plans | $3,539.75 | ↑ +179% |
| Kaiser | Commercial|HMO | $3,647.83 | ↑ +188% |
| Kaiser | Commercial|PPO | $4,012.89 | ↑ +217% |
| BCBS - Regence | Commercial|All Plans | $4,078.00 | ↑ +222% |
| BCBS - Premera | Commercial|All Other Plans | $4,636.80 | ↑ +266% |
| United | Commercial|Navigate | $4,893.70 | ↑ +286% |
| United | Commercial|Cascade Care | $5,151.34 | ↑ +306% |
| United | Commercial|All Other Plans | $5,151.34 | ↑ +306% |
| Aetna | Commercial|AWH | $5,800.14 | ↑ +358% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +367% |
| Aetna | Commercial|All Other Plans | $6,823.70 | ↑ +438% |
Visitor-reported prices
Comments
Ins mark abd/pel for right perq at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $5,800.32 | $1,602.81 – $5,853.10 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,893.40 | $1,542.40 – $4,483.22 |
| Swedish Medical Center Cherry Hill | Seattle | $5,800.32 | $1,602.81 – $5,666.30 |
| Swedish Issaquah | Issaquah | $5,800.32 | $1,607.31 – $5,853.10 |
| Providence St Mary Medical Center | Walla Walla | $783.30 | $1,227.80 – $2,853.44 |
| Kadlec Regional Medical Center | Richland | $3,364.90 | $354.11 – $4,869.28 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $2,414.36 | $1,576.25 – $8,002.00 |
| MultiCare Valley Hospital | Spokane Valley | $1,126.80 | $1,187.75 – $5,965.98 |