Boot walker genesis mid-calf full shell s 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

$55.14

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.

$175.69

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.

$87.85 with Cigna vs $2,056.49 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 $87.85 ↑ +59%
Aetna Commercial|Rental $126.50 ↑ +129%
MultiPlan Commercial|All Plans $131.77 ↑ +139%
BCBS - Premera Commercial|All Other Plans $175.69 ↑ +219%
BCBS - Premera Commercial|LifeWise Primary Exchange $175.69 ↑ +219%
Uniform Medical Plan Commercial|All Plans $406.17 ↑ +637%
BCBS - Regence Commercial|All Plans $406.17 ↑ +637%
Kaiser Commercial|HMO $1,077.15 ↑ +1853%
Kaiser Commercial|PPO $1,184.95 ↑ +2049%
Aetna Commercial|WEA $2,056.49 ↑ +3630%

Visitor-reported prices

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Boot walker genesis mid-calf full shell s at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $293.86 not published
Swedish Medical Center - First Hill Campus Seattle $562.56 $424.24 – $1,288.84
Providence Sacred Heart Medical Center and Children's Hospital Spokane $312.26 $424.24 – $1,079.69
Swedish Medical Center Cherry Hill Seattle $562.56 $424.24 – $1,037.49
Swedish Issaquah Issaquah $562.56 $424.24 – $941.81
Central Medical Center Seattle $73.36 not published
Providence Centralia Hospital Centralia $297.23 $424.24 – $802.33
Providence Mount Carmel Hospital Colville $293.86 not published

All Washington hospitals for this procedure →