Fl exam g/colon tube w contrast at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$294.60
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.
$1,022.05
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.
$273.98 with SoundPath vs $1,205.51 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 | $273.98 | ↓ -7% |
| Kaiser | Medicare|All Plans | $273.98 | ↓ -7% |
| Optum | Medicare|All Plans | $276.72 | ↓ -6% |
| Aetna | Medicare|All Plans | $282.20 | ↓ -4% |
| BCBS - Regence | Medicare|All Plans | $282.20 | ↓ -4% |
| BCBS - Premera | Medicare|All Plans | $282.20 | ↓ -4% |
| Humana | Medicare|All Plans | $293.16 | ↓ -0% |
| United | Medicare|All Plans | $295.90 | ↑ +0% |
| Molina | Medicare|All Plans | $295.90 | ↑ +0% |
| Amerigroup | Medicare|All Plans | $298.64 | ↑ +1% |
| CHPW | Medicare|All Plans | $315.08 | ↑ +7% |
| Seattle Medical Group | Medicare|All Plans | $315.08 | ↑ +7% |
| Sound Family Medicine | Commercial|All Plans | $520.56 | ↑ +77% |
| Molina | Commercial|Marketplace Exchange | $526.04 | ↑ +79% |
| Coordinated Care | Commercial|Ambetter Exchange | $542.48 | ↑ +84% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $567.22 | ↑ +93% |
| Uniform Medical Plan | Commercial|All Plans | $605.60 | ↑ +106% |
| Kaiser | Commercial|HMO | $635.38 | ↑ +116% |
| BCBS - Regence | Commercial|All Plans | $694.41 | ↑ +136% |
| Kaiser | Commercial|PPO | $698.97 | ↑ +137% |
| Cigna | Commercial|All Plans | $705.22 | ↑ +139% |
| Aetna | Commercial|Rental | $735.88 | ↑ +150% |
| First Choice | Commercial|All Plans | $736.65 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $766.54 | ↑ +160% |
| BCBS - Premera | Commercial|All Other Plans | $819.98 | ↑ +178% |
| United | Commercial|Navigate | $864.53 | ↑ +193% |
| United | Commercial|All Other Plans | $910.04 | ↑ +209% |
| United | Commercial|Cascade Care | $910.04 | ↑ +209% |
| Aetna | Commercial|AWH | $1,024.69 | ↑ +248% |
| Aetna | Commercial|All Other Plans | $1,205.51 | ↑ +309% |
Visitor-reported prices
Comments
Fl exam g/colon tube w contrast at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $782.40 | $276.30 – $1,095.29 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $551.60 | $265.88 – $838.94 |
| Swedish Medical Center Cherry Hill | Seattle | $782.40 | $276.30 – $1,060.33 |
| Swedish Issaquah | Issaquah | $782.40 | $277.07 – $1,095.29 |
| Providence Mount Carmel Hospital | Colville | $220.50 | not published |
| Providence St Mary Medical Center | Walla Walla | $630.00 | $217.13 – $491.89 |
| Kadlec Regional Medical Center | Richland | $407.40 | $58.46 – $911.19 |
| Providence Holy Family Hospital | Spokane | $576.10 | $265.88 – $3,379.00 |