Ghs simple repair over 30 cm - 12018 at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$399.56
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.
$1,386.17
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.
$225.21 with SoundPath vs $5,920.00 with Cigna — 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 | $225.21 | ↓ -44% |
| Kaiser | Medicare|All Plans | $225.21 | ↓ -44% |
| Optum | Medicare|All Plans | $227.46 | ↓ -43% |
| Aetna | Medicare|All Plans | $231.97 | ↓ -42% |
| BCBS - Regence | Medicare|All Plans | $231.97 | ↓ -42% |
| BCBS - Premera | Medicare|All Plans | $231.97 | ↓ -42% |
| Humana | Medicare|All Plans | $240.97 | ↓ -40% |
| United | Medicare|All Plans | $243.23 | ↓ -39% |
| Molina | Medicare|All Plans | $243.23 | ↓ -39% |
| Amerigroup | Medicare|All Plans | $245.48 | ↓ -39% |
| CHPW | Medicare|All Plans | $258.99 | ↓ -35% |
| Seattle Medical Group | Medicare|All Plans | $258.99 | ↓ -35% |
| Sound Family Medicine | Commercial|All Plans | $427.90 | ↑ +7% |
| Molina | Commercial|Marketplace Exchange | $432.40 | ↑ +8% |
| Coordinated Care | Commercial|Ambetter Exchange | $445.92 | ↑ +12% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $463.43 | ↑ +16% |
| Kaiser | Commercial|HMO | $491.34 | ↑ +23% |
| Uniform Medical Plan | Commercial|All Plans | $494.79 | ↑ +24% |
| Kaiser | Commercial|PPO | $540.51 | ↑ +35% |
| BCBS - Regence | Commercial|All Plans | $567.35 | ↑ +42% |
| BCBS - Premera | Commercial|All Other Plans | $669.93 | ↑ +68% |
| United | Commercial|Navigate | $710.68 | ↑ +78% |
| United | Commercial|Cascade Care | $748.10 | ↑ +87% |
| United | Commercial|All Other Plans | $748.10 | ↑ +87% |
| Aetna | Commercial|AWH | $842.29 | ↑ +111% |
| Aetna | Commercial|All Other Plans | $990.92 | ↑ +148% |
| Aetna | Commercial|Rental | $998.05 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $1,039.63 | ↑ +160% |
| First Choice | Commercial|All Plans | $1,236.95 | ↑ +210% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +1382% |
Visitor-reported prices
Comments
Ghs simple repair over 30 cm - 12018 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $348.60 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $738.72 | $232.33 – $821.23 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,038.80 | $223.58 – $569.00 |
| Swedish Medical Center Cherry Hill | Seattle | $738.72 | $232.33 – $795.02 |
| Swedish Issaquah | Issaquah | $738.72 | $232.98 – $821.23 |
| Providence Centralia Hospital | Centralia | $417.04 | $232.33 – $1,022.17 |
| Providence Mount Carmel Hospital | Colville | $348.60 | not published |
| Providence St Mary Medical Center | Walla Walla | $1,234.10 | $177.40 – $793.27 |