Exploration retroperitoneal area 49010 at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.70 with Cigna vs $11,577.28 with BCBS - Premera — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $0.70 | — |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $8,008.66 | — |
| Uniform Medical Plan | Commercial|All Plans | $8,257.45 | — |
| Aetna | Commercial|WEA | $8,830.14 | — |
| BCBS - Regence | Commercial|All Plans | $9,468.42 | — |
| BCBS - Premera | Commercial|All Other Plans | $11,577.28 | — |
| First Choice | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|PPO | not published by hospital | — |
| Aetna | Commercial|All Other Plans | not published by hospital | — |
| Aetna | Commercial|AWH | not published by hospital | — |
| Aetna | Commercial|Rental | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|HMO | not published by hospital | — |
Visitor-reported prices
Comments
Exploration retroperitoneal area 49010 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $3,013.34 – $7,935.47 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $7,277.00 – $22,774.72 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $5,419.00 – $18,359.80 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $7,277.00 – $17,542.08 |
| Swedish Issaquah | Issaquah | not published | $7,277.00 – $16,689.18 |
| Providence Centralia Hospital | Centralia | not published | $7,496.62 – $13,868.74 |
| Swedish Edmonds Hospital | Edmonds | not published | $2,836.00 – $18,725.91 |
| Providence St Mary Medical Center | Walla Walla | not published | $2,960.57 – $13,346.02 |