Anoscopy and biopsy 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

not published by hospital

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.

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What you pay up front if you don't use insurance.

not published by hospital

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.

$0.70 with Cigna vs $5,880.25 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 →

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
Cigna Commercial|All Plans $0.70
Kaiser Medicare|All Plans $1,312.36
SoundPath Medicare|All Plans $1,312.36
Optum Medicare|All Plans $1,325.48
BCBS - Regence Medicare|All Plans $1,351.73
Aetna Medicare|All Plans $1,351.73
BCBS - Premera Medicare|All Plans $1,351.73
Humana Medicare|All Plans $1,404.23
Molina Medicare|All Plans $1,417.35
United Medicare|All Plans $1,417.35
Amerigroup Medicare|All Plans $1,430.47
CHPW Medicare|All Plans $1,509.21
Seattle Medical Group Medicare|All Plans $1,509.21
First Choice Commercial|All Plans $2,366.34
Sound Family Medicine Commercial|All Plans $2,493.48
Molina Commercial|Marketplace Exchange $2,519.73
Coordinated Care Commercial|Ambetter Exchange $2,598.47
BCBS - Premera Commercial|LifeWise Primary Exchange $2,731.71
Uniform Medical Plan Commercial|All Plans $2,916.48
Kaiser Commercial|HMO $2,946.49
Kaiser Commercial|PPO $3,241.37
BCBS - Regence Commercial|All Plans $3,344.18
BCBS - Premera Commercial|All Other Plans $3,948.94
United Commercial|Navigate $4,217.08
United Commercial|Cascade Care $4,439.09
United Commercial|All Other Plans $4,439.09
Aetna Commercial|AWH $4,998.21
Aetna Commercial|All Other Plans $5,880.25
Aetna Commercial|Rental not published by hospital
MultiPlan Commercial|All Plans not published by hospital

Visitor-reported prices

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Anoscopy and biopsy at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $2,551.20 $1,385.70 – $4,719.83
Swedish Medical Center Cherry Hill Seattle $2,551.20 $1,385.70 – $4,569.20
Swedish Issaquah Issaquah $2,551.20 $1,389.59 – $4,719.83
MultiCare Auburn Medical Center Auburn $2,810.00 $673.60 – $5,744.14
MultiCare Good Samaritan Hospital Puyallup $2,810.00 $689.17 – $5,744.14
Virginia Mason Medical Center Seattle $1,677.90 $5.02 – $539.66
MultiCare Capital Medical Center Olympia $2,810.00 $724.90 – $6,191.09
MultiCare Covington Medical Center Covington $2,810.00 $673.60 – $5,744.14

All Washington hospitals for this procedure →