Repair palate at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$1,985.89
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.
$6,889.69
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.
$4,960.58 with Aetna vs $29,502.22 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 |
|---|---|---|---|
| Aetna | Commercial|Rental | $4,960.58 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $5,167.27 | ↑ +160% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +198% |
| Kaiser | Medicare|All Plans | $6,705.05 | ↑ +238% |
| SoundPath | Medicare|All Plans | $6,705.05 | ↑ +238% |
| Optum | Medicare|All Plans | $6,772.10 | ↑ +241% |
| BCBS - Regence | Medicare|All Plans | $6,906.20 | ↑ +248% |
| Aetna | Medicare|All Plans | $6,906.20 | ↑ +248% |
| BCBS - Premera | Medicare|All Plans | $6,906.20 | ↑ +248% |
| Humana | Medicare|All Plans | $7,174.40 | ↑ +261% |
| United | Medicare|All Plans | $7,241.45 | ↑ +265% |
| Molina | Medicare|All Plans | $7,241.45 | ↑ +265% |
| Amerigroup | Medicare|All Plans | $7,308.50 | ↑ +268% |
| Seattle Medical Group | Medicare|All Plans | $7,710.81 | ↑ +288% |
| CHPW | Medicare|All Plans | $7,710.81 | ↑ +288% |
| Sound Family Medicine | Commercial|All Plans | $12,739.59 | ↑ +542% |
| Molina | Commercial|Marketplace Exchange | $12,873.70 | ↑ +548% |
| Coordinated Care | Commercial|Ambetter Exchange | $13,276.00 | ↑ +569% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $13,556.25 | ↑ +583% |
| Uniform Medical Plan | Commercial|All Plans | $14,473.21 | ↑ +629% |
| Kaiser | Commercial|HMO | $14,528.71 | ↑ +632% |
| Kaiser | Commercial|PPO | $15,982.70 | ↑ +705% |
| BCBS - Regence | Commercial|All Plans | $16,595.73 | ↑ +736% |
| First Choice | Commercial|All Plans | $17,168.95 | ↑ +765% |
| BCBS - Premera | Commercial|All Other Plans | $19,596.85 | ↑ +887% |
| United | Commercial|Navigate | $21,157.82 | ↑ +965% |
| United | Commercial|Cascade Care | $22,271.71 | ↑ +1021% |
| United | Commercial|All Other Plans | $22,271.71 | ↑ +1021% |
| Aetna | Commercial|AWH | $25,076.89 | ↑ +1163% |
| Aetna | Commercial|All Other Plans | $29,502.22 | ↑ +1386% |
Visitor-reported prices
Comments
Repair palate at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $7,989.80 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $12,641.30 | $6,596.73 – $16,788.68 |
| Providence Centralia Hospital | Centralia | $12,334.92 | $6,855.10 – $28,375.60 |
| Providence Mount Carmel Hospital | Colville | $9,344.30 | not published |
| Providence St Mary Medical Center | Walla Walla | $9,620.10 | $5,189.13 – $12,203.95 |
| Kadlec Regional Medical Center | Richland | $10,409.70 | $507.57 – $17,995.47 |
| Providence Holy Family Hospital | Spokane | $13,248.90 | $4,435.00 – $17,316.41 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $3,730.48 | $6,741.52 – $18,383.51 |