Excise mandible lesion at St. Francis Hospital
34515 Ninth Avenue South, Federal Way, WA · Vmfh · · NPI 1093713091
$2,512.16
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.
$8,005.00
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.
$3,609.67 with SoundPath vs $16,173.65 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 |
|---|---|---|---|
| SoundPath | Medicare|All Plans | $3,609.67 | ↑ +44% |
| Kaiser | Medicare|All Plans | $3,609.67 | ↑ +44% |
| Optum | Medicare|All Plans | $3,645.77 | ↑ +45% |
| BCBS - Premera | Medicare|All Plans | $3,717.96 | ↑ +48% |
| Aetna | Medicare|All Plans | $3,717.96 | ↑ +48% |
| BCBS - Regence | Medicare|All Plans | $3,717.96 | ↑ +48% |
| Humana | Medicare|All Plans | $3,862.35 | ↑ +54% |
| United | Medicare|All Plans | $3,898.44 | ↑ +55% |
| Molina | Medicare|All Plans | $3,898.44 | ↑ +55% |
| Amerigroup | Medicare|All Plans | $3,934.54 | ↑ +57% |
| Seattle Medical Group | Medicare|All Plans | $4,151.12 | ↑ +65% |
| CHPW | Medicare|All Plans | $4,151.12 | ↑ +65% |
| Aetna | Commercial|Rental | $5,763.60 | ↑ +129% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +136% |
| MultiPlan | Commercial|All Plans | $6,003.75 | ↑ +139% |
| Sound Family Medicine | Commercial|All Plans | $6,858.37 | ↑ +173% |
| Molina | Commercial|Marketplace Exchange | $6,930.57 | ↑ +176% |
| Coordinated Care | Commercial|Ambetter Exchange | $7,147.15 | ↑ +185% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $7,452.98 | ↑ +197% |
| Kaiser | Commercial|HMO | $7,741.04 | ↑ +208% |
| Uniform Medical Plan | Commercial|All Plans | $7,957.10 | ↑ +217% |
| Kaiser | Commercial|PPO | $8,515.74 | ↑ +239% |
| BCBS - Regence | Commercial|All Plans | $9,124.02 | ↑ +263% |
| First Choice | Commercial|All Plans | $9,462.54 | ↑ +277% |
| BCBS - Premera | Commercial|All Other Plans | $10,774.00 | ↑ +329% |
| United | Commercial|Navigate | $11,599.09 | ↑ +362% |
| United | Commercial|Cascade Care | $12,209.74 | ↑ +386% |
| United | Commercial|All Other Plans | $12,209.74 | ↑ +386% |
| Aetna | Commercial|AWH | $13,747.60 | ↑ +447% |
| Aetna | Commercial|All Other Plans | $16,173.65 | ↑ +544% |
Visitor-reported prices
Comments
Excise mandible lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Michael Medical Center | Silverdale | $3,533.00 | $5,043.15 – $13,408.63 |
| St. Anne Hospital | Burien | $2,444.38 | $3,442.15 – $7,204.50 |
| St. Anthony Hospital | Gig Harbor | $2,434.72 | $5,763.60 – $7,741.04 |
| St. Joseph Medical Center | Tacoma | $2,651.24 | $5,763.60 – $7,741.04 |
| St. Elizabeth Hospital | Enumclaw | $2,828.69 | $1,360.85 – $7,204.50 |
| St. Clare Hospital | Lakewood | $2,307.37 | $5,763.60 – $7,741.04 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $3,694.56 – $4,064.02 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $3,839.27 – $12,755.94 |