Complx repair enel 1.1-2.5 cm 13151 at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$524.02
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.
$1,817.96
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.
$693.81 with SoundPath vs $6,630.00 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 |
|---|---|---|---|
| SoundPath | Medicare|All Plans | $693.81 | ↑ +32% |
| Kaiser | Medicare|All Plans | $693.81 | ↑ +32% |
| Optum | Medicare|All Plans | $700.75 | ↑ +34% |
| BCBS - Regence | Medicare|All Plans | $714.62 | ↑ +36% |
| Aetna | Medicare|All Plans | $714.62 | ↑ +36% |
| BCBS - Premera | Medicare|All Plans | $714.62 | ↑ +36% |
| Humana | Medicare|All Plans | $742.38 | ↑ +42% |
| Molina | Medicare|All Plans | $749.31 | ↑ +43% |
| United | Medicare|All Plans | $749.31 | ↑ +43% |
| Amerigroup | Medicare|All Plans | $756.25 | ↑ +44% |
| CHPW | Medicare|All Plans | $797.88 | ↑ +52% |
| Seattle Medical Group | Medicare|All Plans | $797.88 | ↑ +52% |
| Aetna | Commercial|Rental | $1,308.94 | ↑ +150% |
| Sound Family Medicine | Commercial|All Plans | $1,318.24 | ↑ +152% |
| Molina | Commercial|Marketplace Exchange | $1,332.12 | ↑ +154% |
| MultiPlan | Commercial|All Plans | $1,363.47 | ↑ +160% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,373.74 | ↑ +162% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $1,453.85 | ↑ +177% |
| Uniform Medical Plan | Commercial|All Plans | $1,552.19 | ↑ +196% |
| Kaiser | Commercial|HMO | $1,580.71 | ↑ +202% |
| Kaiser | Commercial|PPO | $1,738.90 | ↑ +232% |
| BCBS - Regence | Commercial|All Plans | $1,779.82 | ↑ +240% |
| First Choice | Commercial|All Plans | $1,887.63 | ↑ +260% |
| BCBS - Premera | Commercial|All Other Plans | $2,101.68 | ↑ +301% |
| United | Commercial|Navigate | $2,189.32 | ↑ +318% |
| United | Commercial|All Other Plans | $2,304.58 | ↑ +340% |
| United | Commercial|Cascade Care | $2,304.58 | ↑ +340% |
| Aetna | Commercial|AWH | $2,594.85 | ↑ +395% |
| Aetna | Commercial|All Other Plans | $3,052.76 | ↑ +483% |
| Cigna | Commercial|All Plans | $6,630.00 | ↑ +1165% |
Visitor-reported prices
Comments
Complx repair enel 1.1-2.5 cm 13151 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $639.80 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $1,622.88 | $855.84 – $2,600.04 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,442.00 | $823.58 – $2,096.01 |
| Swedish Medical Center Cherry Hill | Seattle | $1,622.88 | $855.84 – $2,261.44 |
| Swedish Issaquah | Issaquah | $1,622.88 | $858.24 – $2,335.99 |
| Providence Centralia Hospital | Centralia | $1,492.92 | $855.84 – $2,907.57 |
| Providence Mount Carmel Hospital | Colville | $639.80 | not published |
| Providence St Mary Medical Center | Walla Walla | $772.80 | $556.51 – $2,256.47 |