Biliary endo perq dx w/speci at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$2,371.96
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.
?
What you pay up front if you don't use insurance.
$8,229.06
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5,920.00 with Cigna vs $31,118.47 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $5,920.00 | ↑ +150% |
| Aetna | Commercial|Rental | $5,924.93 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $6,171.80 | ↑ +160% |
| SoundPath | Medicare|All Plans | $7,072.38 | ↑ +198% |
| Kaiser | Medicare|All Plans | $7,072.38 | ↑ +198% |
| Optum | Medicare|All Plans | $7,143.10 | ↑ +201% |
| BCBS - Premera | Medicare|All Plans | $7,284.55 | ↑ +207% |
| Aetna | Medicare|All Plans | $7,284.55 | ↑ +207% |
| BCBS - Regence | Medicare|All Plans | $7,284.55 | ↑ +207% |
| Humana | Medicare|All Plans | $7,567.45 | ↑ +219% |
| United | Medicare|All Plans | $7,638.17 | ↑ +222% |
| Molina | Medicare|All Plans | $7,638.17 | ↑ +222% |
| Amerigroup | Medicare|All Plans | $7,708.89 | ↑ +225% |
| CHPW | Medicare|All Plans | $8,133.24 | ↑ +243% |
| Seattle Medical Group | Medicare|All Plans | $8,133.24 | ↑ +243% |
| Kaiser | Commercial|HMO | $9,637.24 | ↑ +306% |
| Kaiser | Commercial|PPO | $10,601.70 | ↑ +347% |
| First Choice | Commercial|All Plans | $11,080.19 | ↑ +367% |
| Sound Family Medicine | Commercial|All Plans | $13,437.52 | ↑ +467% |
| Molina | Commercial|Marketplace Exchange | $13,578.97 | ↑ +472% |
| Coordinated Care | Commercial|Ambetter Exchange | $14,003.31 | ↑ +490% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $17,513.29 | ↑ +638% |
| Uniform Medical Plan | Commercial|All Plans | $18,697.89 | ↑ +688% |
| BCBS - Regence | Commercial|All Plans | $21,439.97 | ↑ +804% |
| United | Commercial|Navigate | $22,316.97 | ↑ +841% |
| United | Commercial|All Other Plans | $23,491.88 | ↑ +890% |
| United | Commercial|Cascade Care | $23,491.88 | ↑ +890% |
| BCBS - Premera | Commercial|All Other Plans | $25,317.13 | ↑ +967% |
| Aetna | Commercial|AWH | $26,450.70 | ↑ +1015% |
| Aetna | Commercial|All Other Plans | $31,118.47 | ↑ +1212% |
Visitor-reported prices
Comments
Biliary endo perq dx w/speci at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $8,326.08 | $7,277.00 – $22,774.72 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $6,770.40 | $7,214.07 – $18,359.80 |
| Swedish Medical Center Cherry Hill | Seattle | $8,326.08 | $7,277.00 – $17,542.08 |
| Swedish Issaquah | Issaquah | $8,326.08 | $7,277.00 – $16,689.18 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $4,501.12 | $6,914.00 – $17,103.98 |
| MultiCare Valley Hospital | Spokane Valley | $6,924.00 | $2,914.39 – $20,458.19 |
| MultiCare Yakima Memorial Hospital | Yakima | $6,924.00 | $5,159.02 – $23,546.83 |
| St. Michael Medical Center | Silverdale | $3,631.88 | $5,184.31 – $16,693.12 |