Tenotomy open tndn flxr toe sgl tndn spx at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$1,046.35
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.
$3,630.12
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 $8,396.30 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 | $1,813.97 | ↑ +73% |
| Kaiser | Medicare|All Plans | $1,813.97 | ↑ +73% |
| Optum | Medicare|All Plans | $1,832.11 | ↑ +75% |
| BCBS - Premera | Medicare|All Plans | $1,868.39 | ↑ +79% |
| Aetna | Medicare|All Plans | $1,868.39 | ↑ +79% |
| BCBS - Regence | Medicare|All Plans | $1,868.39 | ↑ +79% |
| Humana | Medicare|All Plans | $1,940.95 | ↑ +85% |
| Molina | Medicare|All Plans | $1,959.09 | ↑ +87% |
| United | Medicare|All Plans | $1,959.09 | ↑ +87% |
| Amerigroup | Medicare|All Plans | $1,977.23 | ↑ +89% |
| Seattle Medical Group | Medicare|All Plans | $2,086.07 | ↑ +99% |
| CHPW | Medicare|All Plans | $2,086.07 | ↑ +99% |
| Aetna | Commercial|Rental | $2,613.69 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $2,722.59 | ↑ +160% |
| Sound Family Medicine | Commercial|All Plans | $3,446.54 | ↑ +229% |
| Molina | Commercial|Marketplace Exchange | $3,482.82 | ↑ +233% |
| Coordinated Care | Commercial|Ambetter Exchange | $3,591.66 | ↑ +243% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $3,720.45 | ↑ +256% |
| Kaiser | Commercial|HMO | $3,903.19 | ↑ +273% |
| Uniform Medical Plan | Commercial|All Plans | $3,972.12 | ↑ +280% |
| Kaiser | Commercial|PPO | $4,293.81 | ↑ +310% |
| BCBS - Regence | Commercial|All Plans | $4,554.63 | ↑ +335% |
| BCBS - Premera | Commercial|All Other Plans | $5,378.27 | ↑ +414% |
| United | Commercial|Navigate | $5,724.01 | ↑ +447% |
| United | Commercial|Cascade Care | $6,025.36 | ↑ +476% |
| United | Commercial|All Other Plans | $6,025.36 | ↑ +476% |
| Aetna | Commercial|AWH | $6,784.25 | ↑ +548% |
| Aetna | Commercial|All Other Plans | $7,981.47 | ↑ +663% |
| First Choice | Commercial|All Plans | $8,396.30 | ↑ +702% |
Visitor-reported prices
Comments
Tenotomy open tndn flxr toe sgl tndn spx at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $3,760.00 | not published |
| St. Michael Medical Center | Silverdale | $1,602.15 | $2,286.98 – $6,760.89 |
| St. Anne Hospital | Burien | $1,108.48 | $1,560.96 – $3,267.11 |
| St. Anthony Hospital | Gig Harbor | $1,104.10 | $2,613.69 – $3,903.19 |
| St. Joseph Medical Center | Tacoma | $1,202.29 | $2,613.69 – $3,903.19 |
| St. Elizabeth Hospital | Enumclaw | $1,282.76 | $617.13 – $3,267.11 |
| Virginia Mason Medical Center | Seattle | $2,768.28 | $11.36 – $1,786.02 |
| St. Francis Hospital | Federal Way | $1,139.22 | $2,613.69 – $3,903.19 |