Complx repair sal addl 5 cm/> 13122 at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$304.42
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.
$1,056.12
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.
$453.68 with First Choice vs $792.09 with MultiPlan — 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 |
|---|---|---|---|
| First Choice | Commercial|All Plans | $453.68 | ↑ +49% |
| Aetna | Commercial|Rental | $760.41 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $792.09 | ↑ +160% |
Visitor-reported prices
Comments
Complx repair sal addl 5 cm/> 13122 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $147.70 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $480.48 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $406.00 | $13,212.00 – $13,212.00 |
| Swedish Medical Center Cherry Hill | Seattle | $480.48 | not published |
| Swedish Issaquah | Issaquah | $480.48 | $9,339.00 – $9,339.00 |
| Providence Centralia Hospital | Centralia | $235.04 | $7,984.74 – $7,984.74 |
| Providence Mount Carmel Hospital | Colville | $179.20 | not published |
| Providence St Mary Medical Center | Walla Walla | $897.40 | $6,522.00 – $6,522.00 |