Insitu hybridization (fish) 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

$321.31

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.

$1,023.85

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.

$190.73 with SoundPath vs $970.13 with Kaiser — 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
SoundPath Medicare|All Plans $190.73 ↓ -41%
Kaiser Medicare|All Plans $190.73 ↓ -41%
Optum Medicare|All Plans $192.64 ↓ -40%
BCBS - Regence Medicare|All Plans $196.45 ↓ -39%
BCBS - Premera Medicare|All Plans $196.45 ↓ -39%
Aetna Medicare|All Plans $196.45 ↓ -39%
Humana Medicare|All Plans $204.08 ↓ -36%
United Medicare|All Plans $205.99 ↓ -36%
Molina Medicare|All Plans $205.99 ↓ -36%
Amerigroup Medicare|All Plans $207.90 ↓ -35%
CHPW Medicare|All Plans $219.34 ↓ -32%
Seattle Medical Group Medicare|All Plans $219.34 ↓ -32%
Cigna Commercial|All Plans $297.73 ↓ -7%
Sound Family Medicine Commercial|All Plans $362.39 ↑ +13%
Molina Commercial|Marketplace Exchange $366.20 ↑ +14%
Coordinated Care Commercial|Ambetter Exchange $377.65 ↑ +18%
BCBS - Premera Commercial|LifeWise Primary Exchange $395.39 ↑ +23%
Uniform Medical Plan Commercial|All Plans $422.13 ↑ +31%
BCBS - Regence Commercial|All Plans $484.04 ↑ +51%
BCBS - Premera Commercial|All Other Plans $571.57 ↑ +78%
United Commercial|Navigate $612.90 ↑ +91%
United Commercial|All Other Plans $645.17 ↑ +101%
United Commercial|Cascade Care $645.17 ↑ +101%
Aetna Commercial|AWH $726.42 ↑ +126%
Aetna Commercial|Rental $737.18 ↑ +129%
MultiPlan Commercial|All Plans $767.89 ↑ +139%
Aetna Commercial|All Other Plans $854.61 ↑ +166%
Kaiser Commercial|HMO $881.87 ↑ +174%
Kaiser Commercial|PPO $970.13 ↑ +202%

Visitor-reported prices

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Insitu hybridization (fish) at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $1,343.20 $1,039.00 – $1,039.00
Swedish Edmonds Hospital Edmonds $680.16 $194.02 – $1,275.35
Providence St Mary Medical Center Walla Walla $304.50 $151.35 – $351.22
Providence Regional Medical Center Everett - Colby Campus Everett $297.44 $194.02 – $1,190.32
MultiCare Valley Hospital Spokane Valley $458.80 $27.41 – $1,442.29
St. Michael Medical Center Silverdale $451.88 $526.96 – $1,527.53
St. Anne Hospital Burien $312.64 $297.73 – $921.47
St. Anthony Hospital Gig Harbor $311.41 $297.73 – $881.87

All Washington hospitals for this procedure →