Lev 5 hosp type b ed visit at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$1,508.63
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.
$5,233.89
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.
$457.79 with SoundPath vs $3,925.42 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 |
|---|---|---|---|
| SoundPath | Medicare|All Plans | $457.79 | ↓ -70% |
| Kaiser | Medicare|All Plans | $457.79 | ↓ -70% |
| Optum | Medicare|All Plans | $462.37 | ↓ -69% |
| Aetna | Medicare|All Plans | $471.52 | ↓ -69% |
| BCBS - Regence | Medicare|All Plans | $471.52 | ↓ -69% |
| BCBS - Premera | Medicare|All Plans | $471.52 | ↓ -69% |
| Humana | Medicare|All Plans | $489.84 | ↓ -68% |
| United | Medicare|All Plans | $494.41 | ↓ -67% |
| Molina | Medicare|All Plans | $494.41 | ↓ -67% |
| Amerigroup | Medicare|All Plans | $498.99 | ↓ -67% |
| CHPW | Medicare|All Plans | $526.46 | ↓ -65% |
| Seattle Medical Group | Medicare|All Plans | $526.46 | ↓ -65% |
| Sound Family Medicine | Commercial|All Plans | $869.80 | ↓ -42% |
| Molina | Commercial|Marketplace Exchange | $878.96 | ↓ -42% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $882.34 | ↓ -42% |
| Coordinated Care | Commercial|Ambetter Exchange | $906.42 | ↓ -40% |
| Kaiser | Commercial|HMO | $939.09 | ↓ -38% |
| Uniform Medical Plan | Commercial|All Plans | $942.03 | ↓ -38% |
| Kaiser | Commercial|PPO | $1,033.07 | ↓ -32% |
| BCBS - Regence | Commercial|All Plans | $1,080.18 | ↓ -28% |
| BCBS - Premera | Commercial|All Other Plans | $1,275.51 | ↓ -15% |
| United | Commercial|Navigate | $1,444.55 | ↓ -4% |
| United | Commercial|All Other Plans | $1,520.60 | ↑ +1% |
| United | Commercial|Cascade Care | $1,520.60 | ↑ +1% |
| Aetna | Commercial|AWH | $1,712.13 | ↑ +13% |
| First Choice | Commercial|All Plans | $1,750.62 | ↑ +16% |
| Aetna | Commercial|All Other Plans | $2,014.28 | ↑ +34% |
| Cigna | Commercial|All Plans | $2,302.92 | ↑ +53% |
| Aetna | Commercial|Rental | $3,768.41 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $3,925.42 | ↑ +160% |
Visitor-reported prices
Comments
Lev 5 hosp type b ed visit at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $574.00 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $787.50 | $457.69 – $1,164.82 |
| Providence St Mary Medical Center | Walla Walla | $2,196.60 | $337.75 – $846.72 |
| Kadlec Regional Medical Center | Richland | $2,072.00 | $457.69 – $1,208.11 |
| Providence Holy Family Hospital | Spokane | $856.80 | $457.69 – $1,201.43 |
| St. Michael Medical Center | Silverdale | $2,309.97 | $1,626.64 – $4,710.51 |
| St. Anne Hospital | Burien | $1,598.20 | $1,524.22 – $4,710.51 |
| St. Anthony Hospital | Gig Harbor | $1,591.89 | $939.09 – $3,925.42 |