Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$12,688.14
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.
?
What you pay up front if you don't use insurance.
$44,019.23
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.70 with Cigna vs $161,493.79 with First Choice — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $28,841.40 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $30,043.13 | ↑ +137% |
| Kaiser | Medicare|All Plans | $36,339.88 | ↑ +186% |
| SoundPath | Medicare|All Plans | $36,339.88 | ↑ +186% |
| Optum | Medicare|All Plans | $36,703.28 | ↑ +189% |
| BCBS - Regence | Medicare|All Plans | $37,430.08 | ↑ +195% |
| Aetna | Medicare|All Plans | $37,430.08 | ↑ +195% |
| BCBS - Premera | Medicare|All Plans | $37,430.08 | ↑ +195% |
| Humana | Medicare|All Plans | $38,883.67 | ↑ +206% |
| United | Medicare|All Plans | $39,247.07 | ↑ +209% |
| Molina | Medicare|All Plans | $39,247.07 | ↑ +209% |
| Amerigroup | Medicare|All Plans | $39,610.47 | ↑ +212% |
| Seattle Medical Group | Medicare|All Plans | $41,790.86 | ↑ +229% |
| CHPW | Medicare|All Plans | $41,790.86 | ↑ +229% |
| Sound Family Medicine | Commercial|All Plans | $69,045.77 | ↑ +444% |
| Molina | Commercial|Marketplace Exchange | $69,772.57 | ↑ +450% |
| Coordinated Care | Commercial|Ambetter Exchange | $71,952.96 | ↑ +467% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $76,157.00 | ↑ +500% |
| Uniform Medical Plan | Commercial|All Plans | $81,308.34 | ↑ +541% |
| Kaiser | Commercial|HMO | $87,276.49 | ↑ +588% |
| BCBS - Regence | Commercial|All Plans | $93,232.35 | ↑ +635% |
| Kaiser | Commercial|PPO | $96,010.87 | ↑ +657% |
| BCBS - Premera | Commercial|All Other Plans | $110,092.24 | ↑ +768% |
| United | Commercial|Navigate | $114,670.78 | ↑ +804% |
| United | Commercial|Cascade Care | $120,707.79 | ↑ +851% |
| United | Commercial|All Other Plans | $120,707.79 | ↑ +851% |
| Aetna | Commercial|AWH | $135,911.15 | ↑ +971% |
| Aetna | Commercial|All Other Plans | $159,895.47 | ↑ +1160% |
| First Choice | Commercial|All Plans | $161,493.79 | ↑ +1173% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $26,365.44 | $7,277.00 – $157,216.46 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $40,597.20 | $5,419.00 – $100,076.18 |
| Swedish Medical Center Cherry Hill | Seattle | $26,365.44 | $7,277.00 – $151,405.58 |
| Swedish Issaquah | Issaquah | $26,365.44 | $7,277.00 – $157,216.46 |
| Central Medical Center | Seattle | $24,660.80 | not published |
| Providence St Mary Medical Center | Walla Walla | $23,301.60 | $24,827.00 – $64,709.31 |
| Kadlec Regional Medical Center | Richland | $48,907.60 | $1,557.06 – $119,768.59 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $34,932.56 | $7,246.00 – $122,351.21 |