Revision tips at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$3,429.03
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.
$11,896.38
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.
$0.70 with Cigna vs $43,921.04 with First Choice — 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 | $0.70 | ↓ -100% |
| SoundPath | Medicare|All Plans | $6,462.33 | ↑ +88% |
| Kaiser | Medicare|All Plans | $6,462.33 | ↑ +88% |
| Optum | Medicare|All Plans | $6,526.95 | ↑ +90% |
| BCBS - Regence | Medicare|All Plans | $6,656.20 | ↑ +94% |
| Aetna | Medicare|All Plans | $6,656.20 | ↑ +94% |
| BCBS - Premera | Medicare|All Plans | $6,656.20 | ↑ +94% |
| Humana | Medicare|All Plans | $6,914.69 | ↑ +102% |
| Molina | Medicare|All Plans | $6,979.32 | ↑ +104% |
| United | Medicare|All Plans | $6,979.32 | ↑ +104% |
| Amerigroup | Medicare|All Plans | $7,043.94 | ↑ +105% |
| Seattle Medical Group | Medicare|All Plans | $7,431.68 | ↑ +117% |
| CHPW | Medicare|All Plans | $7,431.68 | ↑ +117% |
| Aetna | Commercial|Rental | $8,565.40 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $8,922.29 | ↑ +160% |
| Sound Family Medicine | Commercial|All Plans | $12,278.43 | ↑ +258% |
| Molina | Commercial|Marketplace Exchange | $12,407.67 | ↑ +262% |
| Coordinated Care | Commercial|Ambetter Exchange | $12,795.41 | ↑ +273% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $13,231.00 | ↑ +286% |
| Uniform Medical Plan | Commercial|All Plans | $14,125.96 | ↑ +312% |
| Kaiser | Commercial|HMO | $14,190.58 | ↑ +314% |
| Kaiser | Commercial|PPO | $15,610.74 | ↑ +355% |
| BCBS - Regence | Commercial|All Plans | $16,197.56 | ↑ +372% |
| BCBS - Premera | Commercial|All Other Plans | $19,126.68 | ↑ +458% |
| United | Commercial|Navigate | $20,391.94 | ↑ +495% |
| United | Commercial|Cascade Care | $21,465.50 | ↑ +526% |
| United | Commercial|All Other Plans | $21,465.50 | ↑ +526% |
| Aetna | Commercial|AWH | $24,169.11 | ↑ +605% |
| Aetna | Commercial|All Other Plans | $28,434.25 | ↑ +729% |
| First Choice | Commercial|All Plans | $43,921.04 | ↑ +1181% |
Visitor-reported prices
Comments
Revision tips at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $17,162.88 | $6,590.77 – $24,125.54 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $19,497.80 | $5,419.00 – $16,141.31 |
| Swedish Medical Center Cherry Hill | Seattle | $17,162.88 | $6,590.77 – $23,233.84 |
| Swedish Issaquah | Issaquah | $17,162.88 | $6,609.26 – $24,125.54 |
| Kadlec Regional Medical Center | Richland | $17,120.60 | $620.18 – $18,379.01 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $25,560.60 | $6,481.57 – $18,775.32 |
| Providence St Peter Hospital | Olympia | $12,461.28 | $3,484.00 – $23,283.38 |
| MultiCare Valley Hospital | Spokane Valley | $11,219.60 | $3,998.07 – $23,208.53 |