Biopsy of salivary gland 42400 at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$459.73
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.
$1,594.95
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.
$797.48 with Kaiser vs $4,556.00 with Cigna — 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 | $797.48 | ↑ +73% |
| SoundPath | Medicare|All Plans | $797.48 | ↑ +73% |
| Optum | Medicare|All Plans | $805.45 | ↑ +75% |
| BCBS - Premera | Medicare|All Plans | $821.40 | ↑ +79% |
| BCBS - Regence | Medicare|All Plans | $821.40 | ↑ +79% |
| Aetna | Medicare|All Plans | $821.40 | ↑ +79% |
| Humana | Medicare|All Plans | $853.30 | ↑ +86% |
| Molina | Medicare|All Plans | $861.28 | ↑ +87% |
| United | Medicare|All Plans | $861.28 | ↑ +87% |
| Amerigroup | Medicare|All Plans | $869.25 | ↑ +89% |
| Seattle Medical Group | Medicare|All Plans | $917.10 | ↑ +99% |
| CHPW | Medicare|All Plans | $917.10 | ↑ +99% |
| Aetna | Commercial|Rental | $1,148.37 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $1,196.22 | ↑ +160% |
| Sound Family Medicine | Commercial|All Plans | $1,515.21 | ↑ +230% |
| Molina | Commercial|Marketplace Exchange | $1,531.16 | ↑ +233% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,579.01 | ↑ +243% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $1,628.68 | ↑ +254% |
| Uniform Medical Plan | Commercial|All Plans | $1,738.85 | ↑ +278% |
| Kaiser | Commercial|HMO | $1,765.78 | ↑ +284% |
| Kaiser | Commercial|PPO | $1,942.50 | ↑ +323% |
| BCBS - Regence | Commercial|All Plans | $1,993.85 | ↑ +334% |
| BCBS - Premera | Commercial|All Other Plans | $2,354.41 | ↑ +412% |
| United | Commercial|Navigate | $2,516.44 | ↑ +447% |
| United | Commercial|All Other Plans | $2,648.92 | ↑ +476% |
| United | Commercial|Cascade Care | $2,648.92 | ↑ +476% |
| Aetna | Commercial|AWH | $2,982.58 | ↑ +549% |
| First Choice | Commercial|All Plans | $3,098.30 | ↑ +574% |
| Aetna | Commercial|All Other Plans | $3,508.91 | ↑ +663% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +891% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $1,899.84 | $820.01 – $2,867.05 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,369.50 | $789.10 – $2,008.27 |
| Swedish Medical Center Cherry Hill | Seattle | $1,899.84 | $820.01 – $2,775.55 |
| Swedish Issaquah | Issaquah | $1,899.84 | $822.31 – $2,867.05 |
| Providence St Mary Medical Center | Walla Walla | $807.80 | $623.43 – $2,769.45 |
| Kadlec Regional Medical Center | Richland | $3,678.50 | $102.98 – $2,263.14 |
| Providence Holy Family Hospital | Spokane | $1,922.90 | $789.10 – $3,379.00 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $2,870.92 | $806.42 – $5,987.00 |