Drainage of mouth lesion at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$573.24
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.
$1,988.72
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.
$1,431.88 with Aetna vs $7,387.34 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 |
|---|---|---|---|
| Aetna | Commercial|Rental | $1,431.88 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $1,491.54 | ↑ +160% |
| SoundPath | Medicare|All Plans | $1,678.94 | ↑ +193% |
| Kaiser | Medicare|All Plans | $1,678.94 | ↑ +193% |
| Optum | Medicare|All Plans | $1,695.73 | ↑ +196% |
| BCBS - Premera | Medicare|All Plans | $1,729.31 | ↑ +202% |
| Aetna | Medicare|All Plans | $1,729.31 | ↑ +202% |
| BCBS - Regence | Medicare|All Plans | $1,729.31 | ↑ +202% |
| Humana | Medicare|All Plans | $1,796.47 | ↑ +213% |
| Molina | Medicare|All Plans | $1,813.26 | ↑ +216% |
| United | Medicare|All Plans | $1,813.26 | ↑ +216% |
| Amerigroup | Medicare|All Plans | $1,830.04 | ↑ +219% |
| CHPW | Medicare|All Plans | $1,930.78 | ↑ +237% |
| Seattle Medical Group | Medicare|All Plans | $1,930.78 | ↑ +237% |
| Sound Family Medicine | Commercial|All Plans | $3,189.99 | ↑ +456% |
| Molina | Commercial|Marketplace Exchange | $3,223.56 | ↑ +462% |
| Coordinated Care | Commercial|Ambetter Exchange | $3,324.30 | ↑ +480% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $3,530.27 | ↑ +516% |
| Uniform Medical Plan | Commercial|All Plans | $3,769.07 | ↑ +558% |
| Kaiser | Commercial|HMO | $3,776.99 | ↑ +559% |
| Kaiser | Commercial|PPO | $4,154.98 | ↑ +625% |
| BCBS - Regence | Commercial|All Plans | $4,321.81 | ↑ +654% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +695% |
| BCBS - Premera | Commercial|All Other Plans | $5,103.35 | ↑ +790% |
| United | Commercial|Navigate | $5,297.93 | ↑ +824% |
| United | Commercial|All Other Plans | $5,576.85 | ↑ +873% |
| United | Commercial|Cascade Care | $5,576.85 | ↑ +873% |
| Aetna | Commercial|AWH | $6,279.24 | ↑ +995% |
| First Choice | Commercial|All Plans | $6,410.77 | ↑ +1018% |
| Aetna | Commercial|All Other Plans | $7,387.34 | ↑ +1189% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $2,076.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $3,697.92 | $1,796.72 – $6,571.29 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,286.50 | $1,729.00 – $4,400.30 |
| Swedish Medical Center Cherry Hill | Seattle | $3,697.92 | $1,796.72 – $6,328.40 |
| Swedish Issaquah | Issaquah | $3,697.92 | $1,801.76 – $6,571.29 |
| Providence Centralia Hospital | Centralia | $3,206.84 | $1,796.72 – $7,893.64 |
| Providence Mount Carmel Hospital | Colville | $2,429.00 | not published |
| Providence St Mary Medical Center | Walla Walla | $2,671.90 | $1,351.34 – $3,198.65 |