Bx shoulder tissues supf 23065 at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$630.73
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.
$2,188.20
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.
$1,575.51 with Aetna vs $8,080.34 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 |
|---|---|---|---|
| Aetna | Commercial|Rental | $1,575.51 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $1,641.15 | ↑ +160% |
| SoundPath | Medicare|All Plans | $1,836.44 | ↑ +191% |
| Kaiser | Medicare|All Plans | $1,836.44 | ↑ +191% |
| Optum | Medicare|All Plans | $1,854.80 | ↑ +194% |
| BCBS - Regence | Medicare|All Plans | $1,891.53 | ↑ +200% |
| Aetna | Medicare|All Plans | $1,891.53 | ↑ +200% |
| BCBS - Premera | Medicare|All Plans | $1,891.53 | ↑ +200% |
| Humana | Medicare|All Plans | $1,964.99 | ↑ +212% |
| United | Medicare|All Plans | $1,983.36 | ↑ +214% |
| Molina | Medicare|All Plans | $1,983.36 | ↑ +214% |
| Amerigroup | Medicare|All Plans | $2,001.72 | ↑ +217% |
| CHPW | Medicare|All Plans | $2,111.91 | ↑ +235% |
| Seattle Medical Group | Medicare|All Plans | $2,111.91 | ↑ +235% |
| First Choice | Commercial|All Plans | $3,143.10 | ↑ +398% |
| Sound Family Medicine | Commercial|All Plans | $3,489.24 | ↑ +453% |
| Molina | Commercial|Marketplace Exchange | $3,525.96 | ↑ +459% |
| Coordinated Care | Commercial|Ambetter Exchange | $3,636.15 | ↑ +476% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $3,753.06 | ↑ +495% |
| Uniform Medical Plan | Commercial|All Plans | $4,006.93 | ↑ +535% |
| Kaiser | Commercial|HMO | $4,080.13 | ↑ +547% |
| Kaiser | Commercial|PPO | $4,488.45 | ↑ +612% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +622% |
| BCBS - Regence | Commercial|All Plans | $4,594.55 | ↑ +628% |
| BCBS - Premera | Commercial|All Other Plans | $5,425.41 | ↑ +760% |
| United | Commercial|Navigate | $5,794.90 | ↑ +819% |
| United | Commercial|Cascade Care | $6,099.99 | ↑ +867% |
| United | Commercial|All Other Plans | $6,099.99 | ↑ +867% |
| Aetna | Commercial|AWH | $6,868.29 | ↑ +989% |
| Aetna | Commercial|All Other Plans | $8,080.34 | ↑ +1181% |
Visitor-reported prices
Comments
Bx shoulder tissues supf 23065 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,293.50 | $1,840.45 – $4,683.94 |
| St. Michael Medical Center | Silverdale | $965.76 | $1,378.57 – $7,067.38 |
| St. Anne Hospital | Burien | $668.18 | $940.93 – $1,969.38 |
| St. Anthony Hospital | Gig Harbor | $665.54 | $1,575.51 – $4,080.13 |
| St. Joseph Medical Center | Tacoma | $724.73 | $1,575.51 – $4,080.13 |
| St. Elizabeth Hospital | Enumclaw | $773.24 | $372.00 – $1,969.38 |
| Virginia Mason Medical Center | Seattle | $2,026.74 | $6.71 – $3,213.23 |
| St. Francis Hospital | Federal Way | $686.71 | $1,575.51 – $4,080.13 |