Inj., guselkumab, 1 mg at St. Francis Hospital
34515 Ninth Avenue South, Federal Way, WA · Vmfh · · NPI 1093713091
$27,158.25
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.
$86,540.00
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.
$72.50 with BCBS - Premera vs $32,452.50 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 →
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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 |
|---|---|---|---|
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $72.50 | ↓ -100% |
| BCBS - Premera | Commercial|All Other Plans | $72.50 | ↓ -100% |
| United | Commercial|All Other Plans | $73.52 | ↓ -100% |
| United | Commercial|Cascade Care | $73.52 | ↓ -100% |
| United | Commercial|Navigate | $73.52 | ↓ -100% |
| BCBS - Regence | Commercial|All Plans | $73.63 | ↓ -100% |
| Uniform Medical Plan | Commercial|All Plans | $73.63 | ↓ -100% |
| Kaiser | Medicare|All Plans | $83.33 | ↓ -100% |
| SoundPath | Medicare|All Plans | $83.33 | ↓ -100% |
| Optum | Medicare|All Plans | $84.16 | ↓ -100% |
| BCBS - Premera | Medicare|All Plans | $85.83 | ↓ -100% |
| BCBS - Regence | Medicare|All Plans | $85.83 | ↓ -100% |
| Aetna | Medicare|All Plans | $85.83 | ↓ -100% |
| Humana | Medicare|All Plans | $89.16 | ↓ -100% |
| United | Medicare|All Plans | $90.00 | ↓ -100% |
| Molina | Medicare|All Plans | $90.00 | ↓ -100% |
| Amerigroup | Medicare|All Plans | $90.83 | ↓ -100% |
| CHPW | Medicare|All Plans | $95.83 | ↓ -100% |
| Seattle Medical Group | Medicare|All Plans | $95.83 | ↓ -100% |
| Molina | Commercial|Marketplace Exchange | $157.11 | ↓ -99% |
| Sound Family Medicine | Commercial|All Plans | $158.33 | ↓ -99% |
| Coordinated Care | Commercial|Ambetter Exchange | $164.99 | ↓ -99% |
| Kaiser | Commercial|HMO | $232.27 | ↓ -99% |
| Kaiser | Commercial|PPO | $255.51 | ↓ -99% |
| Aetna | Commercial|AWH | $311.65 | ↓ -99% |
| Aetna | Commercial|All Other Plans | $366.65 | ↓ -99% |
| Cigna | Commercial|All Plans | $21,635.00 | ↓ -20% |
| First Choice | Commercial|All Plans | $30,721.70 | ↑ +13% |
| Aetna | Commercial|Rental | $31,154.40 | ↑ +15% |
| MultiPlan | Commercial|All Plans | $32,452.50 | ↑ +19% |
Visitor-reported prices
Comments
Inj., guselkumab, 1 mg at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $41,373.04 | $56.55 – $214.18 |
| Providence St Mary Medical Center | Walla Walla | $44,516.58 | $67.81 – $199.51 |
| Providence Holy Family Hospital | Spokane | $41,373.04 | $67.81 – $161.76 |
| St. Michael Medical Center | Silverdale | $38,194.26 | $147.26 – $38,943.00 |
| St. Anne Hospital | Burien | $26,425.47 | $18,606.10 – $38,943.00 |
| St. Anthony Hospital | Gig Harbor | $26,321.03 | $232.27 – $32,452.50 |
| St. Joseph Medical Center | Tacoma | $28,661.84 | $232.27 – $32,452.50 |
| St. Elizabeth Hospital | Enumclaw | $30,580.16 | $93.88 – $38,943.00 |