Smear gram stain at St. Clare Hospital

11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 17, 2026

$46.98

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$162.98

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$4.27 with Kaiser vs $122.24 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 →

Payer
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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
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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
Kaiser Medicare|All Plans $4.27 ↓ -91%
SoundPath Medicare|All Plans $4.27 ↓ -91%
BCBS - Regence Medicare|All Plans $4.27 ↓ -91%
Optum Medicare|All Plans $4.31 ↓ -91%
BCBS - Premera Medicare|All Plans $4.40 ↓ -91%
Aetna Medicare|All Plans $4.40 ↓ -91%
BCBS - Regence Commercial|All Plans $4.48 ↓ -90%
BCBS - Premera Commercial|LifeWise Primary Exchange $4.54 ↓ -90%
Humana Medicare|All Plans $4.57 ↓ -90%
Molina Medicare|All Plans $4.61 ↓ -90%
United Medicare|All Plans $4.61 ↓ -90%
Amerigroup Medicare|All Plans $4.65 ↓ -90%
CHPW Medicare|All Plans $4.91 ↓ -90%
Seattle Medical Group Medicare|All Plans $4.91 ↓ -90%
United Commercial|Cascade Care $5.12 ↓ -89%
United Commercial|All Other Plans $5.12 ↓ -89%
United Commercial|Navigate $5.12 ↓ -89%
Uniform Medical Plan Commercial|All Plans $6.41 ↓ -86%
BCBS - Premera Commercial|All Other Plans $6.41 ↓ -86%
Cigna Commercial|All Plans $7.75 ↓ -84%
Sound Family Medicine Commercial|All Plans $8.11 ↓ -83%
Molina Commercial|Marketplace Exchange $8.20 ↓ -83%
Coordinated Care Commercial|Ambetter Exchange $8.45 ↓ -82%
Aetna Commercial|AWH $15.97 ↓ -66%
Aetna Commercial|All Other Plans $18.79 ↓ -60%
First Choice Commercial|All Plans $25.96 ↓ -45%
Aetna Commercial|WEA $31.66 ↓ -33%
Aetna Commercial|Rental $117.35 ↑ +150%
MultiPlan Commercial|All Plans $122.24 ↑ +160%

Visitor-reported prices

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Smear gram stain at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $127.89 $4.27 – $4.70
Providence St Joseph Hospital Chewelah $54.60 not published
Swedish Medical Center - First Hill Campus Seattle $27.36 $3.84 – $20.07
Providence Sacred Heart Medical Center and Children's Hospital Spokane $182.00 $4.27 – $15.37
Swedish Medical Center Cherry Hill Seattle $27.36 $3.84 – $19.43
Swedish Issaquah Issaquah $27.36 $3.84 – $20.07
Central Medical Center Seattle $59.20 $3.00 – $3.00
Providence Centralia Hospital Centralia $142.48 $4.27 – $26.60

All Washington hospitals for this procedure →