Unlisted px tongue flr mouth at St. Clare Hospital
11315 Bridgeport Way SW, Lakewood, WA · Vmfh · · NPI 1689672693
$180.85
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.
$627.40
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 $1,158.12 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% |
| SoundPath | Medicare|All Plans | $263.21 | ↑ +46% |
| Kaiser | Medicare|All Plans | $263.21 | ↑ +46% |
| Optum | Medicare|All Plans | $265.84 | ↑ +47% |
| BCBS - Premera | Medicare|All Plans | $271.11 | ↑ +50% |
| Aetna | Medicare|All Plans | $271.11 | ↑ +50% |
| BCBS - Regence | Medicare|All Plans | $271.11 | ↑ +50% |
| Humana | Medicare|All Plans | $281.63 | ↑ +56% |
| Molina | Medicare|All Plans | $284.27 | ↑ +57% |
| United | Medicare|All Plans | $284.27 | ↑ +57% |
| Amerigroup | Medicare|All Plans | $286.90 | ↑ +59% |
| Seattle Medical Group | Medicare|All Plans | $302.69 | ↑ +67% |
| CHPW | Medicare|All Plans | $302.69 | ↑ +67% |
| First Choice | Commercial|All Plans | $406.71 | ↑ +125% |
| Aetna | Commercial|Rental | $451.73 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $470.55 | ↑ +160% |
| Sound Family Medicine | Commercial|All Plans | $500.10 | ↑ +177% |
| Molina | Commercial|Marketplace Exchange | $505.36 | ↑ +179% |
| Coordinated Care | Commercial|Ambetter Exchange | $521.16 | ↑ +188% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $565.44 | ↑ +213% |
| Kaiser | Commercial|HMO | $565.48 | ↑ +213% |
| Uniform Medical Plan | Commercial|All Plans | $603.68 | ↑ +234% |
| Kaiser | Commercial|PPO | $622.08 | ↑ +244% |
| BCBS - Regence | Commercial|All Plans | $692.21 | ↑ +283% |
| BCBS - Premera | Commercial|All Other Plans | $817.40 | ↑ +352% |
| United | Commercial|Navigate | $830.56 | ↑ +359% |
| United | Commercial|Cascade Care | $874.29 | ↑ +383% |
| United | Commercial|All Other Plans | $874.29 | ↑ +383% |
| Aetna | Commercial|AWH | $984.41 | ↑ +444% |
| Aetna | Commercial|All Other Plans | $1,158.12 | ↑ +540% |
Visitor-reported prices
Comments
Unlisted px tongue flr mouth at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Michael Medical Center | Silverdale | $276.91 | $395.27 – $979.50 |
| St. Anne Hospital | Burien | $191.59 | $269.79 – $564.66 |
| St. Anthony Hospital | Gig Harbor | $190.83 | $451.73 – $565.48 |
| St. Joseph Medical Center | Tacoma | $207.80 | $451.73 – $565.48 |
| St. Elizabeth Hospital | Enumclaw | $221.71 | $106.66 – $564.66 |
| Virginia Mason Medical Center | Seattle | $456.96 | $177.07 – $753.94 |
| St. Francis Hospital | Federal Way | $196.90 | $451.73 – $565.48 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $263.93 – $290.33 |