#cf-97variants at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$505.37
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.
$1,753.29
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.
$556.60 with SoundPath vs $2,449.04 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 |
|---|---|---|---|
| SoundPath | Medicare|All Plans | $556.60 | ↑ +10% |
| BCBS - Regence | Medicare|All Plans | $556.60 | ↑ +10% |
| Kaiser | Medicare|All Plans | $556.60 | ↑ +10% |
| Optum | Medicare|All Plans | $562.17 | ↑ +11% |
| Aetna | Medicare|All Plans | $573.30 | ↑ +13% |
| BCBS - Premera | Medicare|All Plans | $573.30 | ↑ +13% |
| BCBS - Regence | Commercial|All Plans | $584.43 | ↑ +16% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $591.67 | ↑ +17% |
| Humana | Medicare|All Plans | $595.56 | ↑ +18% |
| Molina | Medicare|All Plans | $601.13 | ↑ +19% |
| United | Medicare|All Plans | $601.13 | ↑ +19% |
| Amerigroup | Medicare|All Plans | $606.69 | ↑ +20% |
| CHPW | Medicare|All Plans | $640.09 | ↑ +27% |
| Seattle Medical Group | Medicare|All Plans | $640.09 | ↑ +27% |
| United | Commercial|Navigate | $667.92 | ↑ +32% |
| United | Commercial|Cascade Care | $667.92 | ↑ +32% |
| United | Commercial|All Other Plans | $667.92 | ↑ +32% |
| Cigna | Commercial|All Plans | $817.65 | ↑ +62% |
| Uniform Medical Plan | Commercial|All Plans | $834.90 | ↑ +65% |
| BCBS - Premera | Commercial|All Other Plans | $834.90 | ↑ +65% |
| First Choice | Commercial|All Plans | $1,051.98 | ↑ +108% |
| Sound Family Medicine | Commercial|All Plans | $1,057.54 | ↑ +109% |
| Molina | Commercial|Marketplace Exchange | $1,068.67 | ↑ +111% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,102.07 | ↑ +118% |
| Aetna | Commercial|Rental | $1,262.37 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $1,314.97 | ↑ +160% |
| Kaiser | Commercial|HMO | $1,514.45 | ↑ +200% |
| Kaiser | Commercial|PPO | $1,666.02 | ↑ +230% |
| Aetna | Commercial|AWH | $2,081.68 | ↑ +312% |
| Aetna | Commercial|All Other Plans | $2,449.04 | ↑ +385% |
Visitor-reported prices
Comments
#cf-97variants at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $543.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $202.08 | $500.94 – $1,690.95 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $944.30 | $556.60 – $1,416.55 |
| Swedish Medical Center Cherry Hill | Seattle | $202.08 | $500.94 – $1,669.80 |
| Swedish Issaquah | Issaquah | $202.08 | $500.94 – $1,235.65 |
| Central Medical Center | Seattle | $1,732.00 | $344.00 – $344.00 |
| Providence Mount Carmel Hospital | Colville | $683.20 | not published |
| Swedish Edmonds Hospital | Edmonds | $202.08 | $556.60 – $2,226.40 |