Ins pm gen exist dual lead 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

$6,088.70

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.

Full explanation →

What you pay up front if you don't use insurance.

$19,401.69

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.70 with Cigna vs $131,777.03 with First Choice — same scan, same building. Share

Negotiated rates by payer
?

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
Cigna Commercial|All Plans $0.70 ↓ -100%
Aetna Commercial|Rental $13,969.22 ↑ +129%
MultiPlan Commercial|All Plans $14,551.27 ↑ +139%
Kaiser Medicare|All Plans $24,983.51 ↑ +310%
SoundPath Medicare|All Plans $24,983.51 ↑ +310%
Optum Medicare|All Plans $25,233.35 ↑ +314%
BCBS - Regence Medicare|All Plans $25,733.02 ↑ +323%
Aetna Medicare|All Plans $25,733.02 ↑ +323%
BCBS - Premera Medicare|All Plans $25,733.02 ↑ +323%
Humana Medicare|All Plans $26,732.36 ↑ +339%
United Medicare|All Plans $26,982.19 ↑ +343%
Molina Medicare|All Plans $26,982.19 ↑ +343%
Amerigroup Medicare|All Plans $27,232.03 ↑ +347%
Seattle Medical Group Medicare|All Plans $28,731.04 ↑ +372%
CHPW Medicare|All Plans $28,731.04 ↑ +372%
Sound Family Medicine Commercial|All Plans $47,468.67 ↑ +680%
Molina Commercial|Marketplace Exchange $47,968.34 ↑ +688%
Coordinated Care Commercial|Ambetter Exchange $49,467.35 ↑ +712%
BCBS - Premera Commercial|LifeWise Primary Exchange $54,564.69 ↑ +796%
Uniform Medical Plan Commercial|All Plans $58,255.49 ↑ +857%
Kaiser Commercial|HMO $62,086.37 ↑ +920%
BCBS - Regence Commercial|All Plans $66,798.76 ↑ +997%
Kaiser Commercial|PPO $68,299.80 ↑ +1022%
BCBS - Premera Commercial|All Other Plans $78,878.49 ↑ +1195%
United Commercial|Navigate $80,280.58 ↑ +1219%
United Commercial|Cascade Care $84,507.07 ↑ +1288%
United Commercial|All Other Plans $84,507.07 ↑ +1288%
Aetna Commercial|AWH $95,150.87 ↑ +1463%
Aetna Commercial|All Other Plans $111,942.20 ↑ +1739%
First Choice Commercial|All Plans $131,777.03 ↑ +2064%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Ins pm gen exist dual lead at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $18,775.68 $7,277.00 – $110,611.77
Providence Sacred Heart Medical Center and Children's Hospital Spokane $54,116.30 $5,419.00 – $70,409.96
Swedish Medical Center Cherry Hill Seattle $18,775.68 $7,277.00 – $106,523.45
Swedish Issaquah Issaquah $18,775.68 $7,277.00 – $110,611.77
Providence Regional Medical Center Everett - Colby Campus Everett $24,159.72 $7,246.00 – $86,081.85
MultiCare Valley Hospital Spokane Valley $20,062.80 $16,879.37 – $101,541.52
MultiCare Yakima Memorial Hospital Yakima $25,382.80 $26,536.26 – $73,362.90
St. Michael Medical Center Silverdale $8,562.90 $12,223.07 – $107,542.74

All Washington hospitals for this procedure →