Avulsion nail plate partial/complete simple single nail plate 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

$242.47

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.

$772.62

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.

$221.16 with SoundPath vs $990.92 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
SoundPath Medicare|All Plans $221.16 ↓ -9%
Kaiser Medicare|All Plans $221.16 ↓ -9%
Optum Medicare|All Plans $223.37 ↓ -8%
BCBS - Regence Medicare|All Plans $227.79 ↓ -6%
Aetna Medicare|All Plans $227.79 ↓ -6%
BCBS - Premera Medicare|All Plans $227.79 ↓ -6%
Humana Medicare|All Plans $236.64 ↓ -2%
Molina Medicare|All Plans $238.85 ↓ -1%
United Medicare|All Plans $238.85 ↓ -1%
Amerigroup Medicare|All Plans $241.06 ↓ -1%
CHPW Medicare|All Plans $254.33 ↑ +5%
Seattle Medical Group Medicare|All Plans $254.33 ↑ +5%
First Choice Commercial|All Plans $333.67 ↑ +38%
Sound Family Medicine Commercial|All Plans $420.20 ↑ +73%
Molina Commercial|Marketplace Exchange $424.63 ↑ +75%
Coordinated Care Commercial|Ambetter Exchange $437.90 ↑ +81%
BCBS - Premera Commercial|LifeWise Primary Exchange $463.43 ↑ +91%
Kaiser Commercial|HMO $491.34 ↑ +103%
Uniform Medical Plan Commercial|All Plans $494.79 ↑ +104%
Cigna Commercial|All Plans $533.11 ↑ +120%
Kaiser Commercial|PPO $540.51 ↑ +123%
Aetna Commercial|Rental $556.29 ↑ +129%
BCBS - Regence Commercial|All Plans $567.35 ↑ +134%
MultiPlan Commercial|All Plans $579.47 ↑ +139%
BCBS - Premera Commercial|All Other Plans $669.93 ↑ +176%
United Commercial|Navigate $710.68 ↑ +193%
United Commercial|All Other Plans $748.10 ↑ +209%
United Commercial|Cascade Care $748.10 ↑ +209%
Aetna Commercial|AWH $842.29 ↑ +247%
Aetna Commercial|All Other Plans $990.92 ↑ +309%

Visitor-reported prices

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Avulsion nail plate partial/complete simple single nail plate at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $365.40 not published
Swedish Medical Center - First Hill Campus Seattle $551.04 $232.33 – $821.23
Providence Sacred Heart Medical Center and Children's Hospital Spokane $520.10 $223.58 – $569.00
Swedish Medical Center Cherry Hill Seattle $551.04 $232.33 – $795.02
Swedish Issaquah Issaquah $551.04 $232.98 – $821.23
Providence Centralia Hospital Centralia $516.36 $232.33 – $1,022.17
Providence Mount Carmel Hospital Colville $365.40 not published
Providence St Mary Medical Center Walla Walla $583.10 $177.40 – $793.27

All Washington hospitals for this procedure →