Ammonia at St. Francis Hospital

34515 Ninth Avenue South, Federal Way, WA · Vmfh · · NPI 1093713091

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

$69.04

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.

$219.99

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.

$14.57 with Kaiser vs $165.00 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 $14.57 ↓ -79%
SoundPath Medicare|All Plans $14.57 ↓ -79%
BCBS - Regence Medicare|All Plans $14.57 ↓ -79%
Optum Medicare|All Plans $14.72 ↓ -79%
BCBS - Premera Medicare|All Plans $15.01 ↓ -78%
Aetna Medicare|All Plans $15.01 ↓ -78%
BCBS - Regence Commercial|All Plans $15.30 ↓ -78%
BCBS - Premera Commercial|LifeWise Primary Exchange $15.49 ↓ -78%
Humana Medicare|All Plans $15.59 ↓ -77%
Molina Medicare|All Plans $15.74 ↓ -77%
United Medicare|All Plans $15.74 ↓ -77%
Amerigroup Medicare|All Plans $15.88 ↓ -77%
CHPW Medicare|All Plans $16.76 ↓ -76%
Seattle Medical Group Medicare|All Plans $16.76 ↓ -76%
United Commercial|Cascade Care $17.48 ↓ -75%
United Commercial|All Other Plans $17.48 ↓ -75%
United Commercial|Navigate $17.48 ↓ -75%
Uniform Medical Plan Commercial|All Plans $21.86 ↓ -68%
BCBS - Premera Commercial|All Other Plans $21.86 ↓ -68%
Cigna Commercial|All Plans $26.42 ↓ -62%
Sound Family Medicine Commercial|All Plans $27.68 ↓ -60%
Molina Commercial|Marketplace Exchange $27.97 ↓ -59%
Coordinated Care Commercial|Ambetter Exchange $28.85 ↓ -58%
Aetna Commercial|AWH $54.49 ↓ -21%
Aetna Commercial|All Other Plans $64.11 ↓ -7%
First Choice Commercial|All Plans $88.55 ↑ +28%
Aetna Commercial|WEA $107.99 ↑ +56%
Aetna Commercial|Rental $158.40 ↑ +129%
MultiPlan Commercial|All Plans $165.00 ↑ +139%

Visitor-reported prices

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Ammonia at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $88.20 $14.57 – $16.03
Providence St Joseph Hospital Chewelah $135.10 not published
Swedish Medical Center - First Hill Campus Seattle $105.60 $13.11 – $68.48
Providence Sacred Heart Medical Center and Children's Hospital Spokane $182.00 $14.57 – $52.45
Swedish Medical Center Cherry Hill Seattle $105.60 $13.11 – $66.29
Swedish Issaquah Issaquah $105.60 $13.11 – $68.48
Central Medical Center Seattle $147.20 $11.00 – $11.00
Providence Centralia Hospital Centralia $126.36 $14.57 – $90.77

All Washington hospitals for this procedure →