Transcath biopsy at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$1,632.81
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.
$5,664.72
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.
$4,078.60 with Aetna vs $26,958.98 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 | $4,078.60 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $4,248.54 | ↑ +160% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +179% |
| SoundPath | Medicare|All Plans | $6,127.04 | ↑ +275% |
| Kaiser | Medicare|All Plans | $6,127.04 | ↑ +275% |
| Optum | Medicare|All Plans | $6,188.31 | ↑ +279% |
| BCBS - Regence | Medicare|All Plans | $6,310.85 | ↑ +287% |
| Aetna | Medicare|All Plans | $6,310.85 | ↑ +287% |
| BCBS - Premera | Medicare|All Plans | $6,310.85 | ↑ +287% |
| Humana | Medicare|All Plans | $6,555.93 | ↑ +302% |
| United | Medicare|All Plans | $6,617.20 | ↑ +305% |
| Molina | Medicare|All Plans | $6,617.20 | ↑ +305% |
| Amerigroup | Medicare|All Plans | $6,678.47 | ↑ +309% |
| Seattle Medical Group | Medicare|All Plans | $7,046.10 | ↑ +332% |
| CHPW | Medicare|All Plans | $7,046.10 | ↑ +332% |
| First Choice | Commercial|All Plans | $11,530.44 | ↑ +606% |
| Sound Family Medicine | Commercial|All Plans | $11,641.38 | ↑ +613% |
| Molina | Commercial|Marketplace Exchange | $11,763.92 | ↑ +620% |
| Coordinated Care | Commercial|Ambetter Exchange | $12,131.54 | ↑ +643% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $12,720.99 | ↑ +679% |
| Uniform Medical Plan | Commercial|All Plans | $13,581.45 | ↑ +732% |
| Kaiser | Commercial|HMO | $13,984.77 | ↑ +756% |
| Kaiser | Commercial|PPO | $15,384.33 | ↑ +842% |
| BCBS - Regence | Commercial|All Plans | $15,573.20 | ↑ +854% |
| BCBS - Premera | Commercial|All Other Plans | $18,389.42 | ↑ +1026% |
| United | Commercial|Navigate | $19,333.92 | ↑ +1084% |
| United | Commercial|Cascade Care | $20,351.78 | ↑ +1146% |
| United | Commercial|All Other Plans | $20,351.78 | ↑ +1146% |
| Aetna | Commercial|AWH | $22,915.13 | ↑ +1303% |
| Aetna | Commercial|All Other Plans | $26,958.98 | ↑ +1551% |
Visitor-reported prices
Comments
Transcath biopsy at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $13,631.52 | $6,443.62 – $22,383.45 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $4,680.90 | $6,022.00 – $15,780.92 |
| Swedish Medical Center Cherry Hill | Seattle | $13,631.52 | $6,443.62 – $21,556.13 |
| Swedish Issaquah | Issaquah | $13,631.52 | $6,461.70 – $22,383.45 |
| Kadlec Regional Medical Center | Richland | $5,451.60 | $356.27 – $17,051.86 |
| Providence Holy Family Hospital | Spokane | $4,898.60 | $3,313.00 – $16,276.98 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $8,184.80 | $5,987.00 – $17,419.56 |
| Providence St Peter Hospital | Olympia | $9,877.40 | $3,870.00 – $21,602.09 |