Ortho hnd/fngr without jnt cstm w/fit&adj at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$91.61
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.
$317.79
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.
$158.90 with Cigna vs $1,433.23 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 | $158.90 | ↑ +73% |
| Aetna | Commercial|Rental | $228.81 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $238.35 | ↑ +160% |
| Uniform Medical Plan | Commercial|All Plans | $283.07 | ↑ +209% |
| BCBS - Regence | Commercial|All Plans | $283.07 | ↑ +209% |
| BCBS - Premera | Commercial|All Other Plans | $317.79 | ↑ +247% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $317.79 | ↑ +247% |
| Kaiser | Commercial|HMO | $750.70 | ↑ +719% |
| Kaiser | Commercial|PPO | $825.82 | ↑ +801% |
| First Choice | Commercial|All Plans | $955.99 | ↑ +944% |
| Aetna | Commercial|WEA | $1,433.23 | ↑ +1464% |
Visitor-reported prices
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Ortho hnd/fngr without jnt cstm w/fit&adj at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $408.10 | $295.66 – $325.23 |
| Providence St Joseph Hospital | Chewelah | $335.30 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $361.92 | $295.66 – $898.22 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $362.60 | $295.66 – $752.45 |
| Swedish Medical Center Cherry Hill | Seattle | $361.92 | $295.66 – $723.06 |
| Swedish Issaquah | Issaquah | $361.92 | $295.66 – $656.37 |
| Providence St Mary Medical Center | Walla Walla | $193.20 | not published |
| Kadlec Regional Medical Center | Richland | $242.20 | $295.66 – $546.97 |