Ins pm gen exist dual lead at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$5,592.36
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.
$19,401.69
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.
$0.70 with Cigna vs $131,777.03 with First Choice — 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.70 | ↓ -100% |
| Aetna | Commercial|Rental | $13,969.22 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $14,551.27 | ↑ +160% |
| Kaiser | Medicare|All Plans | $25,441.41 | ↑ +355% |
| SoundPath | Medicare|All Plans | $25,441.41 | ↑ +355% |
| Optum | Medicare|All Plans | $25,695.82 | ↑ +359% |
| BCBS - Regence | Medicare|All Plans | $26,204.65 | ↑ +369% |
| Aetna | Medicare|All Plans | $26,204.65 | ↑ +369% |
| BCBS - Premera | Medicare|All Plans | $26,204.65 | ↑ +369% |
| Humana | Medicare|All Plans | $27,222.31 | ↑ +387% |
| United | Medicare|All Plans | $27,476.72 | ↑ +391% |
| Molina | Medicare|All Plans | $27,476.72 | ↑ +391% |
| Amerigroup | Medicare|All Plans | $27,731.14 | ↑ +396% |
| Seattle Medical Group | Medicare|All Plans | $29,257.62 | ↑ +423% |
| CHPW | Medicare|All Plans | $29,257.62 | ↑ +423% |
| Sound Family Medicine | Commercial|All Plans | $48,338.68 | ↑ +764% |
| Molina | Commercial|Marketplace Exchange | $48,847.51 | ↑ +773% |
| Coordinated Care | Commercial|Ambetter Exchange | $50,373.99 | ↑ +801% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $54,564.69 | ↑ +876% |
| Uniform Medical Plan | Commercial|All Plans | $58,255.49 | ↑ +942% |
| Kaiser | Commercial|HMO | $62,086.37 | ↑ +1010% |
| BCBS - Regence | Commercial|All Plans | $66,798.76 | ↑ +1094% |
| Kaiser | Commercial|PPO | $68,299.80 | ↑ +1121% |
| BCBS - Premera | Commercial|All Other Plans | $78,878.49 | ↑ +1310% |
| United | Commercial|Navigate | $80,280.58 | ↑ +1336% |
| United | Commercial|Cascade Care | $84,507.07 | ↑ +1411% |
| United | Commercial|All Other Plans | $84,507.07 | ↑ +1411% |
| Aetna | Commercial|AWH | $95,150.87 | ↑ +1601% |
| Aetna | Commercial|All Other Plans | $111,942.20 | ↑ +1902% |
| First Choice | Commercial|All Plans | $131,777.03 | ↑ +2256% |
Visitor-reported prices
Comments
Ins pm gen exist dual lead at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $18,775.68 | $7,277.00 – $110,611.77 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $54,116.30 | $5,419.00 – $70,409.96 |
| Swedish Medical Center Cherry Hill | Seattle | $18,775.68 | $7,277.00 – $106,523.45 |
| Swedish Issaquah | Issaquah | $18,775.68 | $7,277.00 – $110,611.77 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $24,159.72 | $7,246.00 – $86,081.85 |
| MultiCare Valley Hospital | Spokane Valley | $20,062.80 | $16,879.37 – $101,541.52 |
| MultiCare Yakima Memorial Hospital | Yakima | $25,382.80 | $26,536.26 – $73,362.90 |
| St. Michael Medical Center | Silverdale | $8,562.90 | $12,223.07 – $107,542.74 |