Ghs phenylketonurid at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$72.84
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.
$252.68
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.
$5.50 with Kaiser vs $189.51 with MultiPlan — 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $5.50 | ↓ -92% |
| SoundPath | Medicare|All Plans | $5.50 | ↓ -92% |
| BCBS - Regence | Medicare|All Plans | $5.50 | ↓ -92% |
| Optum | Medicare|All Plans | $5.55 | ↓ -92% |
| BCBS - Premera | Medicare|All Plans | $5.67 | ↓ -92% |
| Aetna | Medicare|All Plans | $5.67 | ↓ -92% |
| BCBS - Regence | Commercial|All Plans | $5.78 | ↓ -92% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $5.85 | ↓ -92% |
| Humana | Medicare|All Plans | $5.88 | ↓ -92% |
| Molina | Medicare|All Plans | $5.94 | ↓ -92% |
| United | Medicare|All Plans | $5.94 | ↓ -92% |
| Amerigroup | Medicare|All Plans | $6.00 | ↓ -92% |
| Seattle Medical Group | Medicare|All Plans | $6.32 | ↓ -91% |
| CHPW | Medicare|All Plans | $6.33 | ↓ -91% |
| United | Commercial|Cascade Care | $6.60 | ↓ -91% |
| United | Commercial|All Other Plans | $6.60 | ↓ -91% |
| United | Commercial|Navigate | $6.60 | ↓ -91% |
| Uniform Medical Plan | Commercial|All Plans | $8.25 | ↓ -89% |
| BCBS - Premera | Commercial|All Other Plans | $8.25 | ↓ -89% |
| Cigna | Commercial|All Plans | $9.97 | ↓ -86% |
| Sound Family Medicine | Commercial|All Plans | $10.45 | ↓ -86% |
| Molina | Commercial|Marketplace Exchange | $10.56 | ↓ -86% |
| Coordinated Care | Commercial|Ambetter Exchange | $10.89 | ↓ -85% |
| Aetna | Commercial|AWH | $20.57 | ↓ -72% |
| Aetna | Commercial|All Other Plans | $24.20 | ↓ -67% |
| First Choice | Commercial|All Plans | $32.44 | ↓ -55% |
| Aetna | Commercial|WEA | $39.52 | ↓ -46% |
| Aetna | Commercial|Rental | $181.93 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $189.51 | ↑ +160% |
Visitor-reported prices
Comments
Ghs phenylketonurid at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $207.90 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $382.90 | $5.50 – $19.80 |
| Central Medical Center | Seattle | $24.80 | $4.00 – $4.00 |
| Providence Mount Carmel Hospital | Colville | $236.60 | not published |
| Providence St Mary Medical Center | Walla Walla | $195.30 | $5.50 – $10.18 |
| Kadlec Regional Medical Center | Richland | $22.40 | $5.50 – $21.51 |
| Providence Holy Family Hospital | Spokane | $235.20 | $5.50 – $23.47 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $84.76 | $5.50 – $23.10 |