Lev 1 hosp type b ed visit at St. Anthony Hospital
11567 Canterwood Blvd, Gig Harbor, WA · Vmfh · · NPI 1447406699
$175.51
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.
$577.04
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.
$95.29 with SoundPath vs $432.78 with MultiPlan — 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 | $95.29 | ↓ -46% |
| Kaiser | Medicare|All Plans | $95.29 | ↓ -46% |
| Optum | Medicare|All Plans | $96.24 | ↓ -45% |
| BCBS - Regence | Medicare|All Plans | $98.15 | ↓ -44% |
| Aetna | Medicare|All Plans | $98.15 | ↓ -44% |
| BCBS - Premera | Medicare|All Plans | $98.15 | ↓ -44% |
| Humana | Medicare|All Plans | $101.96 | ↓ -42% |
| Molina | Medicare|All Plans | $102.91 | ↓ -41% |
| United | Medicare|All Plans | $102.91 | ↓ -41% |
| Amerigroup | Medicare|All Plans | $103.87 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $109.58 | ↓ -38% |
| CHPW | Medicare|All Plans | $109.58 | ↓ -38% |
| Kaiser | Commercial|HMO | $166.44 | ↓ -5% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $173.64 | ↓ -1% |
| Sound Family Medicine | Commercial|All Plans | $181.05 | ↑ +3% |
| Molina | Commercial|Marketplace Exchange | $182.96 | ↑ +4% |
| Kaiser | Commercial|PPO | $183.09 | ↑ +4% |
| Coordinated Care | Commercial|Ambetter Exchange | $188.67 | ↑ +7% |
| Uniform Medical Plan | Commercial|All Plans | $191.63 | ↑ +9% |
| BCBS - Regence | Commercial|All Plans | $220.76 | ↑ +26% |
| BCBS - Premera | Commercial|All Other Plans | $251.01 | ↑ +43% |
| Cigna | Commercial|All Plans | $253.90 | ↑ +45% |
| First Choice | Commercial|All Plans | $261.68 | ↑ +49% |
| United | Commercial|Navigate | $300.68 | ↑ +71% |
| United | Commercial|All Other Plans | $316.51 | ↑ +80% |
| United | Commercial|Cascade Care | $316.51 | ↑ +80% |
| Aetna | Commercial|AWH | $356.38 | ↑ +103% |
| Aetna | Commercial|Rental | $415.47 | ↑ +137% |
| Aetna | Commercial|All Other Plans | $419.28 | ↑ +139% |
| MultiPlan | Commercial|All Plans | $432.78 | ↑ +147% |
Visitor-reported prices
Comments
Lev 1 hosp type b ed visit at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $101.50 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $139.30 | $82.83 – $218.00 |
| Providence St Mary Medical Center | Walla Walla | $283.50 | $66.47 – $153.23 |
| Kadlec Regional Medical Center | Richland | $267.40 | $82.83 – $258.29 |
| Providence Holy Family Hospital | Spokane | $151.20 | $82.83 – $217.43 |
| St. Michael Medical Center | Silverdale | $254.68 | $288.29 – $519.34 |
| St. Anne Hospital | Burien | $176.21 | $227.83 – $519.34 |
| St. Joseph Medical Center | Tacoma | $191.12 | $166.44 – $432.78 |