Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber 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

$13,814.25

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.

$44,019.23

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.

$0.70 with Cigna vs $161,493.79 with First Choice — 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
Cigna Commercial|All Plans $0.70 ↓ -100%
Aetna Commercial|Rental $28,841.40 ↑ +109%
MultiPlan Commercial|All Plans $30,043.13 ↑ +117%
Kaiser Medicare|All Plans $35,685.82 ↑ +158%
SoundPath Medicare|All Plans $35,685.82 ↑ +158%
Optum Medicare|All Plans $36,042.68 ↑ +161%
BCBS - Regence Medicare|All Plans $36,756.39 ↑ +166%
Aetna Medicare|All Plans $36,756.39 ↑ +166%
BCBS - Premera Medicare|All Plans $36,756.39 ↑ +166%
Humana Medicare|All Plans $38,183.83 ↑ +176%
United Medicare|All Plans $38,540.69 ↑ +179%
Molina Medicare|All Plans $38,540.69 ↑ +179%
Amerigroup Medicare|All Plans $38,897.54 ↑ +182%
Seattle Medical Group Medicare|All Plans $41,038.69 ↑ +197%
CHPW Medicare|All Plans $41,038.69 ↑ +197%
Sound Family Medicine Commercial|All Plans $67,803.06 ↑ +391%
Molina Commercial|Marketplace Exchange $68,516.77 ↑ +396%
Coordinated Care Commercial|Ambetter Exchange $70,657.92 ↑ +411%
BCBS - Premera Commercial|LifeWise Primary Exchange $76,157.00 ↑ +451%
Uniform Medical Plan Commercial|All Plans $81,308.34 ↑ +489%
Kaiser Commercial|HMO $87,276.49 ↑ +532%
BCBS - Regence Commercial|All Plans $93,232.35 ↑ +575%
Kaiser Commercial|PPO $96,010.87 ↑ +595%
BCBS - Premera Commercial|All Other Plans $110,092.24 ↑ +697%
United Commercial|Navigate $114,670.78 ↑ +730%
United Commercial|Cascade Care $120,707.79 ↑ +774%
United Commercial|All Other Plans $120,707.79 ↑ +774%
Aetna Commercial|AWH $135,911.15 ↑ +884%
Aetna Commercial|All Other Plans $159,895.47 ↑ +1057%
First Choice Commercial|All Plans $161,493.79 ↑ +1069%

Visitor-reported prices

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Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $26,365.44 $7,277.00 – $157,216.46
Providence Sacred Heart Medical Center and Children's Hospital Spokane $40,597.20 $5,419.00 – $100,076.18
Swedish Medical Center Cherry Hill Seattle $26,365.44 $7,277.00 – $151,405.58
Swedish Issaquah Issaquah $26,365.44 $7,277.00 – $157,216.46
Central Medical Center Seattle $24,660.80 not published
Providence St Mary Medical Center Walla Walla $23,301.60 $24,827.00 – $64,709.31
Kadlec Regional Medical Center Richland $48,907.60 $1,557.06 – $119,768.59
Providence Regional Medical Center Everett - Colby Campus Everett $34,932.56 $7,246.00 – $122,351.21

All Washington hospitals for this procedure →