Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution 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

$23,108.70

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.

$73,636.05

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.

$27.24 with BCBS - Premera vs $10,742.89 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
BCBS - Premera Commercial|All Other Plans $27.24 ↓ -100%
BCBS - Premera Commercial|LifeWise Primary Exchange $27.24 ↓ -100%
BCBS - Regence Commercial|All Plans $27.75 ↓ -100%
Uniform Medical Plan Commercial|All Plans $27.75 ↓ -100%
United Commercial|Cascade Care $28.81 ↓ -100%
United Commercial|All Other Plans $28.81 ↓ -100%
United Commercial|Navigate $28.81 ↓ -100%
SoundPath Medicare|All Plans $33.39 ↓ -100%
Kaiser Medicare|All Plans $33.39 ↓ -100%
Optum Medicare|All Plans $33.72 ↓ -100%
BCBS - Premera Medicare|All Plans $34.39 ↓ -100%
BCBS - Regence Medicare|All Plans $34.39 ↓ -100%
Aetna Medicare|All Plans $34.39 ↓ -100%
Humana Medicare|All Plans $35.73 ↓ -100%
United Medicare|All Plans $36.06 ↓ -100%
Molina Medicare|All Plans $36.06 ↓ -100%
Amerigroup Medicare|All Plans $36.40 ↓ -100%
CHPW Medicare|All Plans $38.40 ↓ -100%
Seattle Medical Group Medicare|All Plans $38.40 ↓ -100%
Molina Commercial|Marketplace Exchange $61.57 ↓ -100%
Sound Family Medicine Commercial|All Plans $63.44 ↓ -100%
Coordinated Care Commercial|Ambetter Exchange $66.11 ↓ -100%
Kaiser Commercial|HMO $76.87 ↓ -100%
Kaiser Commercial|PPO $84.56 ↓ -100%
Aetna Commercial|AWH $122.11 ↓ -99%
Aetna Commercial|All Other Plans $143.66 ↓ -99%
Cigna Commercial|All Plans $7,161.93 ↓ -69%
First Choice Commercial|All Plans $10,169.94 ↓ -56%
Aetna Commercial|Rental $10,313.18 ↓ -55%
MultiPlan Commercial|All Plans $10,742.89 ↓ -54%

Visitor-reported prices

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Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $9,522.68 $27.75 – $57.83
Providence Sacred Heart Medical Center and Children's Hospital Spokane $8,512.92 $21.25 – $57.83
Swedish Medical Center Cherry Hill Seattle $9,522.68 $27.75 – $57.83
Swedish Issaquah Issaquah $9,522.68 $27.75 – $57.83
Central Medical Center Seattle $3,872.64 $30.00 – $30.00
Swedish Edmonds Hospital Edmonds $9,522.68 $28.86 – $57.83
Providence St Mary Medical Center Walla Walla $13,328.31 $27.75 – $196.12
Providence Holy Family Hospital Spokane $8,512.92 $27.24 – $69.81

All Washington hospitals for this procedure →