Chest X-ray 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

$271.17

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.

$864.06

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.

$98.00 with SoundPath vs $648.05 with MultiPlan — 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 $98.00 ↓ -64%
Kaiser Medicare|All Plans $98.00 ↓ -64%
Optum Medicare|All Plans $98.98 ↓ -63%
BCBS - Regence Medicare|All Plans $100.94 ↓ -63%
BCBS - Premera Medicare|All Plans $100.94 ↓ -63%
Aetna Medicare|All Plans $100.94 ↓ -63%
Humana Medicare|All Plans $104.86 ↓ -61%
United Medicare|All Plans $105.84 ↓ -61%
Molina Medicare|All Plans $105.84 ↓ -61%
Amerigroup Medicare|All Plans $106.82 ↓ -61%
CHPW Medicare|All Plans $112.70 ↓ -58%
Seattle Medical Group Medicare|All Plans $112.70 ↓ -58%
Cigna Commercial|All Plans $127.23 ↓ -53%
Sound Family Medicine Commercial|All Plans $186.20 ↓ -31%
Molina Commercial|Marketplace Exchange $188.16 ↓ -31%
Coordinated Care Commercial|Ambetter Exchange $194.04 ↓ -28%
BCBS - Premera Commercial|LifeWise Primary Exchange $210.35 ↓ -22%
Uniform Medical Plan Commercial|All Plans $224.58 ↓ -17%
Kaiser Commercial|HMO $236.39 ↓ -13%
BCBS - Regence Commercial|All Plans $257.51 ↓ -5%
Kaiser Commercial|PPO $260.05 ↓ -4%
BCBS - Premera Commercial|All Other Plans $304.08 ↑ +12%
United Commercial|Navigate $314.90 ↑ +16%
United Commercial|Cascade Care $331.48 ↑ +22%
United Commercial|All Other Plans $331.48 ↑ +22%
Aetna Commercial|AWH $373.25 ↑ +38%
Aetna Commercial|All Other Plans $439.12 ↑ +62%
Aetna Commercial|Rental $622.13 ↑ +129%
MultiPlan Commercial|All Plans $648.05 ↑ +139%

Visitor-reported prices

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Chest X-ray at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane $239.40 not published
Providence St Joseph Hospital Chewelah $329.00 not published
Swedish Medical Center - First Hill Campus Seattle $322.56 $100.77 – $375.11
Providence Sacred Heart Medical Center and Children's Hospital Spokane $455.00 $96.98 – $287.32
Swedish Medical Center Cherry Hill Seattle $322.56 $100.77 – $363.14
Swedish Issaquah Issaquah $322.56 $96.84 – $375.11
Central Medical Center Seattle $304.00 $89.00 – $89.00
Providence Centralia Hospital Centralia $236.60 $100.77 – $497.22

All Washington hospitals for this procedure →