Homovanillic acid (hva) 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

$43.65

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.

$139.08

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.

$22.41 with Kaiser vs $104.31 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
Kaiser Medicare|All Plans $22.41 ↓ -49%
SoundPath Medicare|All Plans $22.41 ↓ -49%
BCBS - Regence Medicare|All Plans $22.41 ↓ -49%
Optum Medicare|All Plans $22.63 ↓ -48%
BCBS - Premera Medicare|All Plans $23.08 ↓ -47%
Aetna Medicare|All Plans $23.08 ↓ -47%
BCBS - Regence Commercial|All Plans $23.53 ↓ -46%
BCBS - Premera Commercial|LifeWise Primary Exchange $23.82 ↓ -45%
Humana Medicare|All Plans $23.98 ↓ -45%
Molina Medicare|All Plans $24.20 ↓ -45%
United Medicare|All Plans $24.20 ↓ -45%
Amerigroup Medicare|All Plans $24.43 ↓ -44%
CHPW Medicare|All Plans $25.77 ↓ -41%
Seattle Medical Group Medicare|All Plans $25.77 ↓ -41%
United Commercial|Cascade Care $26.89 ↓ -38%
United Commercial|All Other Plans $26.89 ↓ -38%
United Commercial|Navigate $26.89 ↓ -38%
Uniform Medical Plan Commercial|All Plans $33.62 ↓ -23%
BCBS - Premera Commercial|All Other Plans $33.62 ↓ -23%
Cigna Commercial|All Plans $35.10 ↓ -20%
First Choice Commercial|All Plans $42.48 ↓ -3%
Sound Family Medicine Commercial|All Plans $42.58 ↓ -2%
Molina Commercial|Marketplace Exchange $43.03 ↓ -1%
Coordinated Care Commercial|Ambetter Exchange $44.37 ↑ +2%
Aetna Commercial|WEA $51.81 ↑ +19%
Aetna Commercial|AWH $83.81 ↑ +92%
Aetna Commercial|All Other Plans $98.60 ↑ +126%
Aetna Commercial|Rental $100.14 ↑ +129%
MultiPlan Commercial|All Plans $104.31 ↑ +139%

Visitor-reported prices

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Homovanillic acid (hva) at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $67.90 not published
Swedish Medical Center - First Hill Campus Seattle $50.88 $20.17 – $105.33
Providence Sacred Heart Medical Center and Children's Hospital Spokane $111.30 $22.41 – $80.68
Swedish Medical Center Cherry Hill Seattle $50.88 $20.17 – $101.97
Swedish Issaquah Issaquah $50.88 $20.17 – $105.33
Central Medical Center Seattle $100.80 $17.00 – $17.00
Providence Mount Carmel Hospital Colville $77.00 not published
Providence St Mary Medical Center Walla Walla $50.40 $22.41 – $41.46

All Washington hospitals for this procedure →