Close tear duct opening at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
not published by hospital
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.
not published by hospital
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.
$338.82 with SoundPath vs $1,490.81 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 | $338.82 | — |
| Kaiser | Medicare|All Plans | $338.82 | — |
| Optum | Medicare|All Plans | $342.21 | — |
| Aetna | Medicare|All Plans | $348.98 | — |
| BCBS - Regence | Medicare|All Plans | $348.98 | — |
| BCBS - Premera | Medicare|All Plans | $348.98 | — |
| Humana | Medicare|All Plans | $362.54 | — |
| United | Medicare|All Plans | $365.93 | — |
| Molina | Medicare|All Plans | $365.93 | — |
| Amerigroup | Medicare|All Plans | $369.31 | — |
| CHPW | Medicare|All Plans | $389.64 | — |
| Seattle Medical Group | Medicare|All Plans | $389.64 | — |
| Sound Family Medicine | Commercial|All Plans | $643.76 | — |
| Molina | Commercial|Marketplace Exchange | $650.53 | — |
| Coordinated Care | Commercial|Ambetter Exchange | $670.86 | — |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $674.35 | — |
| Uniform Medical Plan | Commercial|All Plans | $719.96 | — |
| Kaiser | Commercial|HMO | $720.25 | — |
| Kaiser | Commercial|PPO | $792.33 | — |
| BCBS - Regence | Commercial|All Plans | $825.55 | — |
| BCBS - Premera | Commercial|All Other Plans | $974.84 | — |
| United | Commercial|Navigate | $1,069.15 | — |
| United | Commercial|All Other Plans | $1,125.43 | — |
| United | Commercial|Cascade Care | $1,125.43 | — |
| First Choice | Commercial|All Plans | $1,178.74 | — |
| Aetna | Commercial|AWH | $1,267.19 | — |
| Aetna | Commercial|All Other Plans | $1,490.81 | — |
| Cigna | Commercial|All Plans | not published by hospital | — |
| Aetna | Commercial|Rental | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Close tear duct opening at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Virginia Mason Medical Center | Seattle | $550.29 | $5.28 – $592.12 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $353.70 – $389.07 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $367.55 – $1,271.30 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $353.70 – $900.16 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $367.55 – $1,230.73 |
| Swedish Issaquah | Issaquah | not published | $368.58 – $1,271.30 |
| Central Medical Center | Seattle | not published | not published |
| Providence Centralia Hospital | Centralia | not published | $367.55 – $1,582.37 |