Biliary endoscopy thru skin 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

$3,431.74

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.

$10,935.25

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.

$6,630.00 with Cigna vs $51,922.16 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 $6,630.00 ↑ +93%
Aetna Commercial|Rental $7,873.38 ↑ +129%
MultiPlan Commercial|All Plans $8,201.44 ↑ +139%
First Choice Commercial|All Plans $11,080.19 ↑ +223%
SoundPath Medicare|All Plans $11,588.10 ↑ +238%
Kaiser Medicare|All Plans $11,588.10 ↑ +238%
Optum Medicare|All Plans $11,703.98 ↑ +241%
BCBS - Regence Medicare|All Plans $11,935.74 ↑ +248%
Aetna Medicare|All Plans $11,935.74 ↑ +248%
BCBS - Premera Medicare|All Plans $11,935.74 ↑ +248%
Humana Medicare|All Plans $12,399.27 ↑ +261%
United Medicare|All Plans $12,515.15 ↑ +265%
Molina Medicare|All Plans $12,515.15 ↑ +265%
Amerigroup Medicare|All Plans $12,631.03 ↑ +268%
Seattle Medical Group Medicare|All Plans $13,326.31 ↑ +288%
CHPW Medicare|All Plans $13,326.32 ↑ +288%
Kaiser Commercial|HMO $14,181.74 ↑ +313%
Kaiser Commercial|PPO $15,601.01 ↑ +355%
Sound Family Medicine Commercial|All Plans $22,017.39 ↑ +542%
Molina Commercial|Marketplace Exchange $22,249.15 ↑ +548%
Coordinated Care Commercial|Ambetter Exchange $22,944.44 ↑ +569%
BCBS - Premera Commercial|LifeWise Primary Exchange $23,828.57 ↑ +594%
Uniform Medical Plan Commercial|All Plans $25,440.35 ↑ +641%
BCBS - Regence Commercial|All Plans $29,171.22 ↑ +750%
BCBS - Premera Commercial|All Other Plans $34,446.49 ↑ +904%
United Commercial|Navigate $37,236.56 ↑ +985%
United Commercial|Cascade Care $39,196.93 ↑ +1042%
United Commercial|All Other Plans $39,196.93 ↑ +1042%
Aetna Commercial|AWH $44,133.83 ↑ +1186%
Aetna Commercial|All Other Plans $51,922.16 ↑ +1413%

Visitor-reported prices

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Biliary endoscopy thru skin at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $12,201.60 $7,277.00 – $37,395.46
Providence Sacred Heart Medical Center and Children's Hospital Spokane $11,128.60 $9,231.00 – $30,146.28
Swedish Medical Center Cherry Hill Seattle $12,201.60 $7,277.00 – $28,803.62
Swedish Issaquah Issaquah $12,201.60 $7,277.00 – $27,403.18
Kadlec Regional Medical Center Richland $11,217.50 $1,014.49 – $21,913.80
Providence Regional Medical Center Everett - Colby Campus Everett $10,575.76 $9,161.00 – $28,084.26
MultiCare Valley Hospital Spokane Valley $10,156.40 $2,914.39 – $33,386.28
MultiCare Yakima Memorial Hospital Yakima $10,156.40 $8,020.09 – $32,037.81

All Washington hospitals for this procedure →