Unlisted procedure rectum at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$397.86
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.
$1,380.27
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 $4,546.83 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.70 | ↓ -100% |
| Aetna | Commercial|Rental | $993.80 | ↑ +150% |
| SoundPath | Medicare|All Plans | $1,033.37 | ↑ +160% |
| Kaiser | Medicare|All Plans | $1,033.37 | ↑ +160% |
| MultiPlan | Commercial|All Plans | $1,035.21 | ↑ +160% |
| Optum | Medicare|All Plans | $1,043.70 | ↑ +162% |
| BCBS - Regence | Medicare|All Plans | $1,064.37 | ↑ +168% |
| Aetna | Medicare|All Plans | $1,064.37 | ↑ +168% |
| BCBS - Premera | Medicare|All Plans | $1,064.37 | ↑ +168% |
| Humana | Medicare|All Plans | $1,105.71 | ↑ +178% |
| United | Medicare|All Plans | $1,116.04 | ↑ +181% |
| Molina | Medicare|All Plans | $1,116.04 | ↑ +181% |
| Amerigroup | Medicare|All Plans | $1,126.37 | ↑ +183% |
| Seattle Medical Group | Medicare|All Plans | $1,188.38 | ↑ +199% |
| CHPW | Medicare|All Plans | $1,188.38 | ↑ +199% |
| Sound Family Medicine | Commercial|All Plans | $1,963.40 | ↑ +393% |
| Molina | Commercial|Marketplace Exchange | $1,984.07 | ↑ +399% |
| Coordinated Care | Commercial|Ambetter Exchange | $2,046.07 | ↑ +414% |
| First Choice | Commercial|All Plans | $2,112.38 | ↑ +431% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $2,115.70 | ↑ +432% |
| Uniform Medical Plan | Commercial|All Plans | $2,258.79 | ↑ +468% |
| Kaiser | Commercial|HMO | $2,261.18 | ↑ +468% |
| Kaiser | Commercial|PPO | $2,487.47 | ↑ +525% |
| BCBS - Regence | Commercial|All Plans | $2,590.05 | ↑ +551% |
| BCBS - Premera | Commercial|All Other Plans | $3,058.44 | ↑ +669% |
| United | Commercial|Navigate | $3,260.80 | ↑ +720% |
| United | Commercial|Cascade Care | $3,432.47 | ↑ +763% |
| United | Commercial|All Other Plans | $3,432.47 | ↑ +763% |
| Aetna | Commercial|AWH | $3,864.80 | ↑ +871% |
| Aetna | Commercial|All Other Plans | $4,546.83 | ↑ +1043% |
Visitor-reported prices
Comments
Unlisted procedure rectum at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $1,600.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $1,137.60 | $1,076.88 – $3,590.24 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,810.90 | $1,036.29 – $2,637.37 |
| Swedish Medical Center Cherry Hill | Seattle | $1,137.60 | $1,076.88 – $3,475.65 |
| Swedish Issaquah | Issaquah | $1,137.60 | $1,079.90 – $3,590.24 |
| Providence Centralia Hospital | Centralia | $1,736.28 | $1,076.88 – $4,468.70 |
| Providence Mount Carmel Hospital | Colville | $1,923.60 | not published |
| Providence St Mary Medical Center | Walla Walla | $3,530.10 | $809.85 – $3,468.02 |