Apl(pml-rara) quant - sendout 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

$268.55

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.

Full explanation →

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

$855.71

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$207.31 with BCBS - Regence vs $1,536.39 with Aetna — same scan, same building. Share

Negotiated rates by payer
?

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
BCBS - Regence Medicare|All Plans $207.31 ↓ -23%
Kaiser Medicare|All Plans $207.31 ↓ -23%
SoundPath Medicare|All Plans $207.31 ↓ -23%
Optum Medicare|All Plans $209.38 ↓ -22%
BCBS - Premera Medicare|All Plans $213.53 ↓ -20%
Aetna Medicare|All Plans $213.53 ↓ -20%
BCBS - Regence Commercial|All Plans $217.68 ↓ -19%
BCBS - Premera Commercial|LifeWise Primary Exchange $220.37 ↓ -18%
Humana Medicare|All Plans $221.82 ↓ -17%
United Medicare|All Plans $223.89 ↓ -17%
Molina Medicare|All Plans $223.89 ↓ -17%
Amerigroup Medicare|All Plans $225.97 ↓ -16%
CHPW Medicare|All Plans $238.41 ↓ -11%
Seattle Medical Group Medicare|All Plans $238.41 ↓ -11%
United Commercial|Cascade Care $248.77 ↓ -7%
United Commercial|Navigate $248.77 ↓ -7%
United Commercial|All Other Plans $248.77 ↓ -7%
Uniform Medical Plan Commercial|All Plans $310.97 ↑ +16%
BCBS - Premera Commercial|All Other Plans $310.97 ↑ +16%
Cigna Commercial|All Plans $375.97 ↑ +40%
Sound Family Medicine Commercial|All Plans $393.89 ↑ +47%
Molina Commercial|Marketplace Exchange $398.04 ↑ +48%
Coordinated Care Commercial|Ambetter Exchange $410.47 ↑ +53%
First Choice Commercial|All Plans $513.43 ↑ +91%
Kaiser Commercial|HMO $564.07 ↑ +110%
Aetna Commercial|Rental $616.12 ↑ +129%
Kaiser Commercial|PPO $620.52 ↑ +131%
MultiPlan Commercial|All Plans $641.79 ↑ +139%
Aetna Commercial|AWH $775.34 ↑ +189%
Aetna Commercial|All Other Plans $912.16 ↑ +240%
Aetna Commercial|WEA $1,536.39 ↑ +472%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Apl(pml-rara) quant - sendout at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $780.96 $186.58 – $629.81
Swedish Medical Center Cherry Hill Seattle $780.96 $186.58 – $621.93
Swedish Issaquah Issaquah $780.96 $186.58 – $460.23
Central Medical Center Seattle $644.80 $128.00 – $128.00
Providence Centralia Hospital Centralia $394.16 $207.31 – $606.38
Swedish Edmonds Hospital Edmonds $780.96 $207.31 – $829.24
Providence St Mary Medical Center Walla Walla $430.50 $207.31 – $383.52
Kadlec Regional Medical Center Richland $649.60 $207.31 – $383.52

All Washington hospitals for this procedure →