Chemodenervation anal musc 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

$1,231.93

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.

$3,925.53

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.

$1,312.36 with SoundPath vs $9,270.42 with First Choice — 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 $1,312.36 ↑ +7%
Kaiser Medicare|All Plans $1,312.36 ↑ +7%
Optum Medicare|All Plans $1,325.48 ↑ +8%
BCBS - Regence Medicare|All Plans $1,351.73 ↑ +10%
Aetna Medicare|All Plans $1,351.73 ↑ +10%
BCBS - Premera Medicare|All Plans $1,351.73 ↑ +10%
Humana Medicare|All Plans $1,404.23 ↑ +14%
Molina Medicare|All Plans $1,417.35 ↑ +15%
United Medicare|All Plans $1,417.35 ↑ +15%
Amerigroup Medicare|All Plans $1,430.47 ↑ +16%
Seattle Medical Group Medicare|All Plans $1,509.21 ↑ +23%
CHPW Medicare|All Plans $1,509.21 ↑ +23%
Sound Family Medicine Commercial|All Plans $2,493.48 ↑ +102%
Molina Commercial|Marketplace Exchange $2,519.73 ↑ +105%
Coordinated Care Commercial|Ambetter Exchange $2,598.47 ↑ +111%
BCBS - Premera Commercial|LifeWise Primary Exchange $2,731.71 ↑ +122%
Aetna Commercial|Rental $2,826.39 ↑ +129%
Uniform Medical Plan Commercial|All Plans $2,916.48 ↑ +137%
MultiPlan Commercial|All Plans $2,944.15 ↑ +139%
Kaiser Commercial|HMO $2,946.49 ↑ +139%
Kaiser Commercial|PPO $3,241.37 ↑ +163%
BCBS - Regence Commercial|All Plans $3,344.18 ↑ +171%
BCBS - Premera Commercial|All Other Plans $3,948.94 ↑ +221%
United Commercial|Navigate $4,217.08 ↑ +242%
United Commercial|Cascade Care $4,439.09 ↑ +260%
United Commercial|All Other Plans $4,439.09 ↑ +260%
Cigna Commercial|All Plans $4,556.00 ↑ +270%
Aetna Commercial|AWH $4,998.21 ↑ +306%
Aetna Commercial|All Other Plans $5,880.25 ↑ +377%
First Choice Commercial|All Plans $9,270.42 ↑ +653%

Visitor-reported prices

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Chemodenervation anal musc at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $2,535.40 not published
Swedish Medical Center - First Hill Campus Seattle $3,094.08 $1,385.70 – $4,719.83
Swedish Medical Center Cherry Hill Seattle $3,094.08 $1,385.70 – $4,569.20
Swedish Issaquah Issaquah $3,094.08 $1,389.59 – $4,719.83
St. Michael Medical Center Silverdale $1,732.53 $2,473.09 – $5,103.75
St. Anne Hospital Burien $1,198.69 $1,687.98 – $3,532.98
St. Anthony Hospital Gig Harbor $1,193.95 $2,826.39 – $2,946.49
St. Joseph Medical Center Tacoma $1,300.13 $2,826.39 – $2,946.49

All Washington hospitals for this procedure →