Lymph vessel x-ray trunk 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

$1,959.52

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.

$6,244.00

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.

$1,470.68 with First Choice vs $15,697.00 with Aetna — 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
First Choice Commercial|All Plans $1,470.68 ↓ -25%
SoundPath Medicare|All Plans $3,503.29 ↑ +79%
Kaiser Medicare|All Plans $3,503.29 ↑ +79%
Optum Medicare|All Plans $3,538.32 ↑ +81%
BCBS - Premera Medicare|All Plans $3,608.39 ↑ +84%
Aetna Medicare|All Plans $3,608.39 ↑ +84%
BCBS - Regence Medicare|All Plans $3,608.39 ↑ +84%
Humana Medicare|All Plans $3,748.52 ↑ +91%
United Medicare|All Plans $3,783.55 ↑ +93%
Molina Medicare|All Plans $3,783.55 ↑ +93%
Amerigroup Medicare|All Plans $3,818.59 ↑ +95%
Seattle Medical Group Medicare|All Plans $4,028.78 ↑ +106%
CHPW Medicare|All Plans $4,028.78 ↑ +106%
Aetna Commercial|Rental $4,495.68 ↑ +129%
MultiPlan Commercial|All Plans $4,683.00 ↑ +139%
Cigna Commercial|All Plans $5,105.59 ↑ +161%
Sound Family Medicine Commercial|All Plans $6,656.25 ↑ +240%
Molina Commercial|Marketplace Exchange $6,726.32 ↑ +243%
Coordinated Care Commercial|Ambetter Exchange $6,936.51 ↑ +254%
BCBS - Premera Commercial|LifeWise Primary Exchange $7,378.61 ↑ +277%
Uniform Medical Plan Commercial|All Plans $7,877.70 ↑ +302%
Kaiser Commercial|HMO $8,105.48 ↑ +314%
Kaiser Commercial|PPO $8,916.65 ↑ +355%
BCBS - Regence Commercial|All Plans $9,032.98 ↑ +361%
BCBS - Premera Commercial|All Other Plans $10,666.49 ↑ +444%
United Commercial|Navigate $11,257.27 ↑ +474%
United Commercial|Cascade Care $11,849.93 ↑ +505%
United Commercial|All Other Plans $11,849.93 ↑ +505%
Aetna Commercial|AWH $13,342.45 ↑ +581%
Aetna Commercial|All Other Plans $15,697.00 ↑ +701%

Visitor-reported prices

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Lymph vessel x-ray trunk at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $7,908.48 $3,656.33 – $13,496.13
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,517.60 $3,518.52 – $8,954.64
Swedish Medical Center Cherry Hill Seattle $7,908.48 $3,656.33 – $12,997.30
Swedish Issaquah Issaquah $7,908.48 $188.81 – $13,496.13
Central Medical Center Seattle $10,880.00 $3,148.00 – $3,148.00
Providence Holy Family Hospital Spokane $3,521.00 $3,518.52 – $14,113.93
Providence Regional Medical Center Everett - Colby Campus Everett $4,772.04 $3,595.75 – $11,578.53
MultiCare Yakima Memorial Hospital Yakima $5,453.20 $3,766.83 – $9,920.64

All Washington hospitals for this procedure →