Antistreptolysin o screen 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

$18.71

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.

$59.61

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.

$5.77 with Kaiser vs $44.71 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 $5.77 ↓ -69%
SoundPath Medicare|All Plans $5.77 ↓ -69%
BCBS - Regence Medicare|All Plans $5.77 ↓ -69%
Optum Medicare|All Plans $5.83 ↓ -69%
BCBS - Premera Medicare|All Plans $5.94 ↓ -68%
Aetna Medicare|All Plans $5.94 ↓ -68%
BCBS - Regence Commercial|All Plans $6.06 ↓ -68%
BCBS - Premera Commercial|LifeWise Primary Exchange $6.13 ↓ -67%
Humana Medicare|All Plans $6.17 ↓ -67%
Molina Medicare|All Plans $6.23 ↓ -67%
United Medicare|All Plans $6.23 ↓ -67%
Amerigroup Medicare|All Plans $6.29 ↓ -66%
CHPW Medicare|All Plans $6.64 ↓ -65%
Seattle Medical Group Medicare|All Plans $6.64 ↓ -65%
United Commercial|Cascade Care $6.92 ↓ -63%
United Commercial|All Other Plans $6.92 ↓ -63%
United Commercial|Navigate $6.92 ↓ -63%
Uniform Medical Plan Commercial|All Plans $8.66 ↓ -54%
BCBS - Premera Commercial|All Other Plans $8.66 ↓ -54%
Cigna Commercial|All Plans $10.46 ↓ -44%
Sound Family Medicine Commercial|All Plans $10.96 ↓ -41%
Molina Commercial|Marketplace Exchange $11.08 ↓ -41%
Coordinated Care Commercial|Ambetter Exchange $11.42 ↓ -39%
Aetna Commercial|AWH $21.58 ↑ +15%
Aetna Commercial|All Other Plans $25.39 ↑ +36%
First Choice Commercial|All Plans $30.55 ↑ +63%
Aetna Commercial|WEA $37.27 ↑ +99%
Aetna Commercial|Rental $42.92 ↑ +129%
MultiPlan Commercial|All Plans $44.71 ↑ +139%

Visitor-reported prices

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Antistreptolysin o screen at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $172.20 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $206.50 $5.77 – $20.77
Central Medical Center Seattle $25.60 $4.00 – $4.00
Providence Holy Family Hospital Spokane $139.30 $5.77 – $24.61
MultiCare Valley Hospital Spokane Valley $14.40 $5.77 – $10.46
MultiCare Yakima Memorial Hospital Yakima $14.80 $5.98 – $10.36
St. Michael Medical Center Silverdale $26.31 $5.77 – $53.65
St. Anne Hospital Burien $18.21 $5.77 – $53.65

All Washington hospitals for this procedure →