Athrectomy tib/pero/unilat/ini ves 37229 at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
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.
$0.70 with Cigna vs $89,552.58 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.70 | — |
| Kaiser | Medicare|All Plans | $20,352.86 | — |
| SoundPath | Medicare|All Plans | $20,352.86 | — |
| Optum | Medicare|All Plans | $20,556.39 | — |
| Aetna | Medicare|All Plans | $20,963.45 | — |
| BCBS - Premera | Medicare|All Plans | $20,963.45 | — |
| BCBS - Regence | Medicare|All Plans | $20,963.45 | — |
| Humana | Medicare|All Plans | $21,777.56 | — |
| Molina | Medicare|All Plans | $21,981.09 | — |
| United | Medicare|All Plans | $21,981.09 | — |
| Amerigroup | Medicare|All Plans | $22,184.62 | — |
| Seattle Medical Group | Medicare|All Plans | $23,405.79 | — |
| CHPW | Medicare|All Plans | $23,405.79 | — |
| Sound Family Medicine | Commercial|All Plans | $38,670.43 | — |
| Molina | Commercial|Marketplace Exchange | $39,077.49 | — |
| Coordinated Care | Commercial|Ambetter Exchange | $40,298.66 | — |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $40,591.44 | — |
| Uniform Medical Plan | Commercial|All Plans | $43,337.09 | — |
| First Choice | Commercial|All Plans | $43,921.04 | — |
| Kaiser | Commercial|HMO | $46,738.53 | — |
| BCBS - Regence | Commercial|All Plans | $49,692.55 | — |
| Kaiser | Commercial|PPO | $51,415.99 | — |
| BCBS - Premera | Commercial|All Other Plans | $58,678.82 | — |
| United | Commercial|Navigate | $64,223.63 | — |
| United | Commercial|Cascade Care | $67,604.78 | — |
| United | Commercial|All Other Plans | $67,604.78 | — |
| Aetna | Commercial|AWH | $76,119.70 | — |
| Aetna | Commercial|All Other Plans | $89,552.58 | — |
| Aetna | Commercial|Rental | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Athrectomy tib/pero/unilat/ini ves 37229 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $31,932.96 | $7,277.00 – $77,627.65 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $19,209.40 | $5,419.00 – $49,413.91 |
| Swedish Medical Center Cherry Hill | Seattle | $31,932.96 | $7,277.00 – $74,758.46 |
| Swedish Issaquah | Issaquah | $31,932.96 | $7,277.00 – $77,627.65 |
| Providence St Mary Medical Center | Walla Walla | $19,500.60 | $15,537.80 – $78,926.74 |
| Kadlec Regional Medical Center | Richland | $21,718.20 | $1,165.21 – $59,137.29 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $16,098.16 | $7,246.00 – $60,412.49 |
| Providence St Peter Hospital | Olympia | $24,439.48 | $3,484.00 – $74,917.86 |