Lev 2 hosp type b ed visit at St. Anthony Hospital
11567 Canterwood Blvd, Gig Harbor, WA · Vmfh · · NPI 1447406699
$287.19
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.
$944.24
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.
$125.43 with SoundPath vs $708.18 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 | $125.43 | ↓ -56% |
| Kaiser | Medicare|All Plans | $125.43 | ↓ -56% |
| Optum | Medicare|All Plans | $126.68 | ↓ -56% |
| Aetna | Medicare|All Plans | $129.19 | ↓ -55% |
| BCBS - Regence | Medicare|All Plans | $129.19 | ↓ -55% |
| BCBS - Premera | Medicare|All Plans | $129.19 | ↓ -55% |
| Humana | Medicare|All Plans | $134.21 | ↓ -53% |
| United | Medicare|All Plans | $135.46 | ↓ -53% |
| Molina | Medicare|All Plans | $135.46 | ↓ -53% |
| Amerigroup | Medicare|All Plans | $136.72 | ↓ -52% |
| CHPW | Medicare|All Plans | $144.24 | ↓ -50% |
| Seattle Medical Group | Medicare|All Plans | $144.24 | ↓ -50% |
| Sound Family Medicine | Commercial|All Plans | $238.32 | ↓ -17% |
| Molina | Commercial|Marketplace Exchange | $240.83 | ↓ -16% |
| Coordinated Care | Commercial|Ambetter Exchange | $248.35 | ↓ -14% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $281.96 | ↓ -2% |
| Kaiser | Commercial|HMO | $303.19 | ↑ +6% |
| Uniform Medical Plan | Commercial|All Plans | $311.15 | ↑ +8% |
| Kaiser | Commercial|PPO | $333.53 | ↑ +16% |
| BCBS - Regence | Commercial|All Plans | $358.47 | ↑ +25% |
| First Choice | Commercial|All Plans | $371.21 | ↑ +29% |
| United | Commercial|Navigate | $395.78 | ↑ +38% |
| BCBS - Premera | Commercial|All Other Plans | $407.59 | ↑ +42% |
| Cigna | Commercial|All Plans | $415.47 | ↑ +45% |
| United | Commercial|All Other Plans | $416.62 | ↑ +45% |
| United | Commercial|Cascade Care | $416.62 | ↑ +45% |
| Aetna | Commercial|AWH | $469.11 | ↑ +63% |
| Aetna | Commercial|All Other Plans | $551.89 | ↑ +92% |
| Aetna | Commercial|Rental | $679.86 | ↑ +137% |
| MultiPlan | Commercial|All Plans | $708.18 | ↑ +147% |
Visitor-reported prices
Comments
Lev 2 hosp type b ed visit at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $185.50 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $254.10 | $103.51 – $298.29 |
| Providence St Mary Medical Center | Walla Walla | $410.90 | $103.51 – $191.49 |
| Kadlec Regional Medical Center | Richland | $387.80 | $103.51 – $353.42 |
| Providence Holy Family Hospital | Spokane | $276.50 | $103.51 – $271.71 |
| St. Michael Medical Center | Silverdale | $416.74 | $525.17 – $849.82 |
| St. Anne Hospital | Burien | $288.33 | $323.20 – $849.82 |
| St. Joseph Medical Center | Tacoma | $312.73 | $303.19 – $708.18 |