Apply rem fixation device 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.

Full explanation →

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 $7,981.47 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
SoundPath Medicare|All Plans $1,781.32
Kaiser Medicare|All Plans $1,781.32
Optum Medicare|All Plans $1,799.13
Aetna Medicare|All Plans $1,834.76
BCBS - Premera Medicare|All Plans $1,834.76
BCBS - Regence Medicare|All Plans $1,834.76
Humana Medicare|All Plans $1,906.01
Molina Medicare|All Plans $1,923.83
United Medicare|All Plans $1,923.83
First Choice Commercial|All Plans $1,934.11
Amerigroup Medicare|All Plans $1,941.64
CHPW Medicare|All Plans $2,048.52
Seattle Medical Group Medicare|All Plans $2,048.52
Sound Family Medicine Commercial|All Plans $3,384.51
Molina Commercial|Marketplace Exchange $3,420.13
Coordinated Care Commercial|Ambetter Exchange $3,527.01
BCBS - Premera Commercial|LifeWise Primary Exchange $3,720.45
Kaiser Commercial|HMO $3,903.19
Uniform Medical Plan Commercial|All Plans $3,972.12
Kaiser Commercial|PPO $4,293.81
BCBS - Regence Commercial|All Plans $4,554.63
BCBS - Premera Commercial|All Other Plans $5,378.27
United Commercial|Navigate $5,724.01
United Commercial|All Other Plans $6,025.36
United Commercial|Cascade Care $6,025.36
Aetna Commercial|AWH $6,784.25
Aetna Commercial|All Other Plans $7,981.47
Aetna Commercial|Rental not published by hospital
MultiPlan Commercial|All Plans not published by hospital

Visitor-reported prices

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Apply rem fixation device at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $455.00 not published
Swedish Medical Center - First Hill Campus Seattle $4,356.96 $1,862.04 – $6,600.75
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,562.40 $1,791.86 – $4,560.28
Swedish Medical Center Cherry Hill Seattle $4,356.96 $1,862.04 – $6,356.78
Swedish Issaquah Issaquah $4,356.96 $1,867.26 – $6,600.75
Providence Centralia Hospital Centralia $3,313.96 $1,862.04 – $7,929.03
Providence Mount Carmel Hospital Colville $543.90 not published
Providence St Mary Medical Center Walla Walla $6,018.60 $1,424.14 – $3,314.93

All Washington hospitals for this procedure →