Cystostomy cystotomy w/drainage 51040 at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$935.76
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.
$3,246.42
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.
$2,321.86 with SoundPath vs $10,216.18 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 | $2,321.86 | ↑ +148% |
| Kaiser | Medicare|All Plans | $2,321.86 | ↑ +148% |
| Aetna | Commercial|Rental | $2,337.43 | ↑ +150% |
| Optum | Medicare|All Plans | $2,345.08 | ↑ +151% |
| BCBS - Premera | Medicare|All Plans | $2,391.52 | ↑ +156% |
| Aetna | Medicare|All Plans | $2,391.52 | ↑ +156% |
| BCBS - Regence | Medicare|All Plans | $2,391.52 | ↑ +156% |
| MultiPlan | Commercial|All Plans | $2,434.82 | ↑ +160% |
| Humana | Medicare|All Plans | $2,484.39 | ↑ +165% |
| Molina | Medicare|All Plans | $2,507.61 | ↑ +168% |
| United | Medicare|All Plans | $2,507.61 | ↑ +168% |
| Amerigroup | Medicare|All Plans | $2,530.83 | ↑ +170% |
| CHPW | Medicare|All Plans | $2,670.14 | ↑ +185% |
| Seattle Medical Group | Medicare|All Plans | $2,670.14 | ↑ +185% |
| Sound Family Medicine | Commercial|All Plans | $4,411.53 | ↑ +371% |
| Molina | Commercial|Marketplace Exchange | $4,457.97 | ↑ +376% |
| Coordinated Care | Commercial|Ambetter Exchange | $4,597.28 | ↑ +391% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $4,714.95 | ↑ +404% |
| Uniform Medical Plan | Commercial|All Plans | $5,033.88 | ↑ +438% |
| Kaiser | Commercial|HMO | $5,046.94 | ↑ +439% |
| Kaiser | Commercial|PPO | $5,552.03 | ↑ +493% |
| BCBS - Regence | Commercial|All Plans | $5,772.11 | ↑ +517% |
| BCBS - Premera | Commercial|All Other Plans | $6,815.91 | ↑ +628% |
| United | Commercial|Navigate | $7,326.65 | ↑ +683% |
| United | Commercial|All Other Plans | $7,712.37 | ↑ +724% |
| United | Commercial|Cascade Care | $7,712.37 | ↑ +724% |
| Cigna | Commercial|All Plans | $8,016.00 | ↑ +757% |
| Aetna | Commercial|AWH | $8,683.76 | ↑ +828% |
| First Choice | Commercial|All Plans | $9,981.64 | ↑ +967% |
| Aetna | Commercial|All Other Plans | $10,216.18 | ↑ +992% |
Visitor-reported prices
Comments
Cystostomy cystotomy w/drainage 51040 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $3,774.40 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $5,273.76 | $2,420.64 – $8,627.45 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $5,341.00 | $2,329.41 – $5,928.34 |
| Swedish Medical Center Cherry Hill | Seattle | $5,273.76 | $2,420.64 – $8,308.57 |
| Swedish Issaquah | Issaquah | $5,273.76 | $2,427.43 – $8,627.45 |
| Providence Centralia Hospital | Centralia | $3,875.56 | $2,420.64 – $10,363.57 |
| Providence Mount Carmel Hospital | Colville | $5,218.50 | not published |
| Providence St Mary Medical Center | Walla Walla | $4,235.70 | $1,804.81 – $4,309.40 |