Diagnostic anoscopy spx 46600 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

$167.12

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.

$532.52

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.

$143.47 with SoundPath vs $642.84 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
SoundPath Medicare|All Plans $143.47 ↓ -14%
Kaiser Medicare|All Plans $143.47 ↓ -14%
Optum Medicare|All Plans $144.90 ↓ -13%
BCBS - Premera Medicare|All Plans $147.77 ↓ -12%
Aetna Medicare|All Plans $147.77 ↓ -12%
BCBS - Regence Medicare|All Plans $147.77 ↓ -12%
Humana Medicare|All Plans $153.51 ↓ -8%
Molina Medicare|All Plans $154.95 ↓ -7%
United Medicare|All Plans $154.95 ↓ -7%
Amerigroup Medicare|All Plans $156.38 ↓ -6%
First Choice Commercial|All Plans $157.92 ↓ -6%
CHPW Medicare|All Plans $164.99 ↓ -1%
Seattle Medical Group Medicare|All Plans $164.99 ↓ -1%
Sound Family Medicine Commercial|All Plans $272.59 ↑ +63%
Molina Commercial|Marketplace Exchange $275.46 ↑ +65%
Coordinated Care Commercial|Ambetter Exchange $284.07 ↑ +70%
BCBS - Premera Commercial|LifeWise Primary Exchange $295.69 ↑ +77%
Uniform Medical Plan Commercial|All Plans $315.70 ↑ +89%
Kaiser Commercial|HMO $315.92 ↑ +89%
Kaiser Commercial|PPO $347.54 ↑ +108%
BCBS - Regence Commercial|All Plans $362.00 ↑ +117%
Cigna Commercial|All Plans $367.44 ↑ +120%
Aetna Commercial|Rental $383.42 ↑ +129%
MultiPlan Commercial|All Plans $399.39 ↑ +139%
BCBS - Premera Commercial|All Other Plans $427.45 ↑ +156%
United Commercial|Navigate $461.03 ↑ +176%
United Commercial|All Other Plans $485.30 ↑ +190%
United Commercial|Cascade Care $485.30 ↑ +190%
Aetna Commercial|AWH $546.41 ↑ +227%
Aetna Commercial|All Other Plans $642.84 ↑ +285%

Visitor-reported prices

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Diagnostic anoscopy spx 46600 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $81.20 not published
Swedish Medical Center - First Hill Campus Seattle $279.36 $154.07 – $512.44
Providence Sacred Heart Medical Center and Children's Hospital Spokane $184.80 $148.26 – $392.51
Swedish Medical Center Cherry Hill Seattle $279.36 $154.07 – $496.09
Swedish Issaquah Issaquah $279.36 $154.50 – $512.44
Providence Centralia Hospital Centralia $401.96 $154.07 – $679.26
Providence Mount Carmel Hospital Colville $86.10 not published
Providence St Mary Medical Center Walla Walla $294.70 $113.19 – $274.28

All Washington hospitals for this procedure →