Bilirubin direct at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$67.05
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.
$232.59
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.
$5.02 with Kaiser vs $174.45 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $5.02 | ↓ -93% |
| SoundPath | Medicare|All Plans | $5.02 | ↓ -93% |
| BCBS - Regence | Medicare|All Plans | $5.02 | ↓ -93% |
| Optum | Medicare|All Plans | $5.07 | ↓ -92% |
| BCBS - Premera | Medicare|All Plans | $5.17 | ↓ -92% |
| Aetna | Medicare|All Plans | $5.17 | ↓ -92% |
| BCBS - Regence | Commercial|All Plans | $5.27 | ↓ -92% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $5.34 | ↓ -92% |
| Humana | Medicare|All Plans | $5.37 | ↓ -92% |
| Molina | Medicare|All Plans | $5.42 | ↓ -92% |
| United | Medicare|All Plans | $5.42 | ↓ -92% |
| Amerigroup | Medicare|All Plans | $5.47 | ↓ -92% |
| CHPW | Medicare|All Plans | $5.77 | ↓ -91% |
| Seattle Medical Group | Medicare|All Plans | $5.77 | ↓ -91% |
| United | Commercial|Cascade Care | $6.02 | ↓ -91% |
| United | Commercial|All Other Plans | $6.02 | ↓ -91% |
| United | Commercial|Navigate | $6.02 | ↓ -91% |
| Uniform Medical Plan | Commercial|All Plans | $7.53 | ↓ -89% |
| BCBS - Premera | Commercial|All Other Plans | $7.53 | ↓ -89% |
| Cigna | Commercial|All Plans | $9.09 | ↓ -86% |
| Sound Family Medicine | Commercial|All Plans | $9.54 | ↓ -86% |
| Molina | Commercial|Marketplace Exchange | $9.64 | ↓ -86% |
| Coordinated Care | Commercial|Ambetter Exchange | $9.94 | ↓ -85% |
| Aetna | Commercial|AWH | $18.77 | ↓ -72% |
| Aetna | Commercial|All Other Plans | $22.09 | ↓ -67% |
| First Choice | Commercial|All Plans | $28.02 | ↓ -58% |
| Aetna | Commercial|WEA | $34.15 | ↓ -49% |
| Aetna | Commercial|Rental | $167.47 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $174.45 | ↑ +160% |
Visitor-reported prices
Comments
Bilirubin direct at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $34.65 | $5.02 – $5.52 |
| Providence St Joseph Hospital | Chewelah | $59.50 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $34.56 | $4.52 – $23.59 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $45.50 | $5.02 – $18.07 |
| Swedish Medical Center Cherry Hill | Seattle | $34.56 | $4.52 – $22.84 |
| Swedish Issaquah | Issaquah | $34.56 | $4.52 – $23.59 |
| Central Medical Center | Seattle | $61.60 | $4.00 – $4.00 |
| Providence Centralia Hospital | Centralia | $63.44 | $5.02 – $31.27 |