Coombs direct at St. Francis Hospital
34515 Ninth Avenue South, Federal Way, WA · Vmfh · · NPI 1093713091
$50.09
Cash price 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.
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What you pay up front if you don't use insurance.
$159.60
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$9.76 with Cigna vs $296.25 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 →
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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 ?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 ?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 | $9.76 | ↓ -81% |
| First Choice | Commercial|All Plans | $26.65 | ↓ -47% |
| SoundPath | Medicare|All Plans | $66.11 | ↑ +32% |
| Kaiser | Medicare|All Plans | $66.11 | ↑ +32% |
| Optum | Medicare|All Plans | $66.77 | ↑ +33% |
| BCBS - Premera | Medicare|All Plans | $68.09 | ↑ +36% |
| Aetna | Medicare|All Plans | $68.09 | ↑ +36% |
| BCBS - Regence | Medicare|All Plans | $68.09 | ↑ +36% |
| Humana | Medicare|All Plans | $70.74 | ↑ +41% |
| Molina | Medicare|All Plans | $71.40 | ↑ +43% |
| United | Medicare|All Plans | $71.40 | ↑ +43% |
| Amerigroup | Medicare|All Plans | $72.06 | ↑ +44% |
| Seattle Medical Group | Medicare|All Plans | $76.03 | ↑ +52% |
| CHPW | Medicare|All Plans | $76.03 | ↑ +52% |
| Aetna | Commercial|Rental | $114.92 | ↑ +129% |
| MultiPlan | Commercial|All Plans | $119.70 | ↑ +139% |
| Sound Family Medicine | Commercial|All Plans | $125.61 | ↑ +151% |
| Molina | Commercial|Marketplace Exchange | $126.93 | ↑ +153% |
| Coordinated Care | Commercial|Ambetter Exchange | $130.90 | ↑ +161% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $141.58 | ↑ +183% |
| Uniform Medical Plan | Commercial|All Plans | $151.17 | ↑ +202% |
| Kaiser | Commercial|HMO | $156.40 | ↑ +212% |
| Kaiser | Commercial|PPO | $172.05 | ↑ +243% |
| BCBS - Regence | Commercial|All Plans | $173.34 | ↑ +246% |
| BCBS - Premera | Commercial|All Other Plans | $204.67 | ↑ +309% |
| United | Commercial|Navigate | $212.43 | ↑ +324% |
| United | Commercial|Cascade Care | $223.62 | ↑ +346% |
| United | Commercial|All Other Plans | $223.62 | ↑ +346% |
| Aetna | Commercial|AWH | $251.81 | ↑ +403% |
| Aetna | Commercial|All Other Plans | $296.25 | ↑ +491% |
Visitor-reported prices
Comments
Coombs direct at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $72.45 | $23.80 – $72.31 |
| Providence St Joseph Hospital | Chewelah | $43.40 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $76.32 | $10.50 – $207.53 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $157.50 | $11.55 – $121.61 |
| Swedish Medical Center Cherry Hill | Seattle | $76.32 | $10.50 – $159.85 |
| Swedish Issaquah | Issaquah | $76.32 | $10.50 – $157.12 |
| Central Medical Center | Seattle | $139.20 | $60.00 – $60.00 |
| Providence Centralia Hospital | Centralia | $76.44 | $15.75 – $208.27 |