Pretreat rbc w enzyme reference at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$208.19
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.
$722.25
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.
$36.50 with Cigna vs $970.13 with Kaiser — 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 | $36.50 | ↓ -82% |
| First Choice | Commercial|All Plans | $51.66 | ↓ -75% |
| Kaiser | Medicare|All Plans | $194.23 | ↓ -7% |
| SoundPath | Medicare|All Plans | $194.23 | ↓ -7% |
| Optum | Medicare|All Plans | $196.17 | ↓ -6% |
| Aetna | Medicare|All Plans | $200.06 | ↓ -4% |
| BCBS - Premera | Medicare|All Plans | $200.06 | ↓ -4% |
| BCBS - Regence | Medicare|All Plans | $200.06 | ↓ -4% |
| Humana | Medicare|All Plans | $207.83 | ↓ -0% |
| United | Medicare|All Plans | $209.77 | ↑ +1% |
| Molina | Medicare|All Plans | $209.77 | ↑ +1% |
| Amerigroup | Medicare|All Plans | $211.71 | ↑ +2% |
| CHPW | Medicare|All Plans | $223.36 | ↑ +7% |
| Seattle Medical Group | Medicare|All Plans | $223.36 | ↑ +7% |
| Sound Family Medicine | Commercial|All Plans | $369.04 | ↑ +77% |
| Molina | Commercial|Marketplace Exchange | $372.92 | ↑ +79% |
| Coordinated Care | Commercial|Ambetter Exchange | $384.58 | ↑ +85% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $395.39 | ↑ +90% |
| Uniform Medical Plan | Commercial|All Plans | $422.13 | ↑ +103% |
| BCBS - Regence | Commercial|All Plans | $484.04 | ↑ +132% |
| Aetna | Commercial|Rental | $520.02 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $541.69 | ↑ +160% |
| BCBS - Premera | Commercial|All Other Plans | $571.57 | ↑ +175% |
| United | Commercial|Navigate | $612.90 | ↑ +194% |
| United | Commercial|All Other Plans | $645.17 | ↑ +210% |
| United | Commercial|Cascade Care | $645.17 | ↑ +210% |
| Aetna | Commercial|AWH | $726.42 | ↑ +249% |
| Aetna | Commercial|All Other Plans | $854.61 | ↑ +310% |
| Kaiser | Commercial|HMO | $881.87 | ↑ +324% |
| Kaiser | Commercial|PPO | $970.13 | ↑ +366% |
Visitor-reported prices
Comments
Pretreat rbc w enzyme reference at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $359.86 | $189.85 – $208.84 |
| Providence St Joseph Hospital | Chewelah | $299.88 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $359.86 | $1.45 – $1,020.28 |
| Central Medical Center | Seattle | $407.20 | $172.00 – $172.00 |
| Providence Mount Carmel Hospital | Colville | $299.88 | not published |
| Providence St Mary Medical Center | Walla Walla | $14.70 | $151.35 – $351.22 |
| Kadlec Regional Medical Center | Richland | $25.20 | $1.45 – $1,108.13 |
| Providence Holy Family Hospital | Spokane | $359.86 | $1.45 – $498.36 |