Consultation/report referred material w/preparation of slides at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$91.23
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.
$316.48
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.
$49.18 with Cigna vs $266.46 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $49.18 | ↓ -46% |
| Kaiser | Medicare|All Plans | $60.56 | ↓ -34% |
| SoundPath | Medicare|All Plans | $60.56 | ↓ -34% |
| Optum | Medicare|All Plans | $61.17 | ↓ -33% |
| BCBS - Premera | Medicare|All Plans | $62.38 | ↓ -32% |
| Aetna | Medicare|All Plans | $62.38 | ↓ -32% |
| BCBS - Regence | Medicare|All Plans | $62.38 | ↓ -32% |
| Humana | Medicare|All Plans | $64.80 | ↓ -29% |
| Molina | Medicare|All Plans | $65.40 | ↓ -28% |
| United | Medicare|All Plans | $65.40 | ↓ -28% |
| Amerigroup | Medicare|All Plans | $66.01 | ↓ -28% |
| Seattle Medical Group | Medicare|All Plans | $69.64 | ↓ -24% |
| CHPW | Medicare|All Plans | $69.64 | ↓ -24% |
| Sound Family Medicine | Commercial|All Plans | $115.06 | ↑ +26% |
| Molina | Commercial|Marketplace Exchange | $116.28 | ↑ +27% |
| Coordinated Care | Commercial|Ambetter Exchange | $119.91 | ↑ +31% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $125.43 | ↑ +37% |
| First Choice | Commercial|All Plans | $127.37 | ↑ +40% |
| Uniform Medical Plan | Commercial|All Plans | $133.92 | ↑ +47% |
| Kaiser | Commercial|HMO | $136.43 | ↑ +50% |
| Kaiser | Commercial|PPO | $150.08 | ↑ +65% |
| BCBS - Regence | Commercial|All Plans | $153.56 | ↑ +68% |
| BCBS - Premera | Commercial|All Other Plans | $181.32 | ↑ +99% |
| United | Commercial|Navigate | $191.10 | ↑ +109% |
| United | Commercial|Cascade Care | $201.16 | ↑ +120% |
| United | Commercial|All Other Plans | $201.16 | ↑ +120% |
| Aetna | Commercial|AWH | $226.49 | ↑ +148% |
| Aetna | Commercial|Rental | $227.87 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $237.36 | ↑ +160% |
| Aetna | Commercial|All Other Plans | $266.46 | ↑ +192% |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $91.70 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $684.48 | $56.82 – $232.51 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $506.80 | $58.07 – $178.09 |
| Swedish Medical Center Cherry Hill | Seattle | $684.48 | $56.82 – $225.09 |
| Swedish Issaquah | Issaquah | $684.48 | $56.82 – $232.51 |
| Central Medical Center | Seattle | $339.20 | $149.00 – $149.00 |
| Providence Mount Carmel Hospital | Colville | $58.80 | not published |
| Swedish Edmonds Hospital | Edmonds | $684.48 | $56.64 – $222.62 |