Ins/rpl ldless pm right vent w img & eval at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$7,454.02
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.
$25,860.37
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.
$6,725.00 with Cigna vs $95,110.49 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $6,725.00 | ↓ -10% |
| Aetna | Commercial|Rental | $18,619.47 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $19,395.28 | ↑ +160% |
| Kaiser | Medicare|All Plans | $21,616.02 | ↑ +190% |
| SoundPath | Medicare|All Plans | $21,616.02 | ↑ +190% |
| Optum | Medicare|All Plans | $21,832.18 | ↑ +193% |
| BCBS - Regence | Medicare|All Plans | $22,264.50 | ↑ +199% |
| Aetna | Medicare|All Plans | $22,264.50 | ↑ +199% |
| BCBS - Premera | Medicare|All Plans | $22,264.50 | ↑ +199% |
| Humana | Medicare|All Plans | $23,129.14 | ↑ +210% |
| United | Medicare|All Plans | $23,345.30 | ↑ +213% |
| Molina | Medicare|All Plans | $23,345.30 | ↑ +213% |
| Amerigroup | Medicare|All Plans | $23,561.46 | ↑ +216% |
| CHPW | Medicare|All Plans | $24,858.42 | ↑ +233% |
| Seattle Medical Group | Medicare|All Plans | $24,858.42 | ↑ +233% |
| Sound Family Medicine | Commercial|All Plans | $41,070.44 | ↑ +451% |
| Molina | Commercial|Marketplace Exchange | $41,502.76 | ↑ +457% |
| Coordinated Care | Commercial|Ambetter Exchange | $42,799.72 | ↑ +474% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $45,105.66 | ↑ +505% |
| Kaiser | Commercial|HMO | $46,738.53 | ↑ +527% |
| Uniform Medical Plan | Commercial|All Plans | $48,156.66 | ↑ +546% |
| Kaiser | Commercial|PPO | $51,415.99 | ↑ +590% |
| BCBS - Regence | Commercial|All Plans | $55,218.92 | ↑ +641% |
| BCBS - Premera | Commercial|All Other Plans | $65,204.56 | ↑ +775% |
| United | Commercial|Navigate | $68,209.53 | ↑ +815% |
| United | Commercial|All Other Plans | $71,800.51 | ↑ +863% |
| United | Commercial|Cascade Care | $71,800.51 | ↑ +863% |
| Aetna | Commercial|AWH | $80,843.91 | ↑ +985% |
| Aetna | Commercial|All Other Plans | $95,110.49 | ↑ +1176% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $29,634.24 | $7,277.00 – $77,627.65 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $55,636.00 | $5,419.00 – $54,626.28 |
| Swedish Medical Center Cherry Hill | Seattle | $29,634.24 | $7,277.00 – $74,758.46 |
| Swedish Issaquah | Issaquah | $29,634.24 | $7,277.00 – $77,627.65 |
| Providence St Mary Medical Center | Walla Walla | $21,922.60 | $17,265.78 – $39,708.69 |
| Kadlec Regional Medical Center | Richland | $28,568.40 | $818.11 – $59,137.29 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $23,693.80 | $7,246.00 – $60,412.49 |
| Providence St Peter Hospital | Olympia | $27,297.40 | $3,484.00 – $74,917.86 |