Microsatellite instability 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

$170.83

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.

$544.34

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.

$326.61 with First Choice vs $2,146.04 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 $326.61 ↑ +91%
SoundPath Medicare|All Plans $348.56 ↑ +104%
BCBS - Regence Medicare|All Plans $348.56 ↑ +104%
Kaiser Medicare|All Plans $348.56 ↑ +104%
Optum Medicare|All Plans $352.05 ↑ +106%
BCBS - Premera Medicare|All Plans $359.02 ↑ +110%
Aetna Medicare|All Plans $359.02 ↑ +110%
BCBS - Regence Commercial|All Plans $365.99 ↑ +114%
BCBS - Premera Commercial|LifeWise Primary Exchange $370.52 ↑ +117%
Humana Medicare|All Plans $372.96 ↑ +118%
Molina Medicare|All Plans $376.44 ↑ +120%
United Medicare|All Plans $376.44 ↑ +120%
Amerigroup Medicare|All Plans $379.93 ↑ +122%
Aetna Commercial|Rental $391.93 ↑ +129%
CHPW Medicare|All Plans $400.84 ↑ +135%
Seattle Medical Group Medicare|All Plans $400.84 ↑ +135%
MultiPlan Commercial|All Plans $408.26 ↑ +139%
United Commercial|Cascade Care $418.27 ↑ +145%
United Commercial|Navigate $418.27 ↑ +145%
United Commercial|All Other Plans $418.27 ↑ +145%
Uniform Medical Plan Commercial|All Plans $522.84 ↑ +206%
BCBS - Premera Commercial|All Other Plans $522.84 ↑ +206%
Cigna Commercial|All Plans $525.13 ↑ +207%
Sound Family Medicine Commercial|All Plans $662.26 ↑ +288%
Molina Commercial|Marketplace Exchange $669.24 ↑ +292%
Coordinated Care Commercial|Ambetter Exchange $690.15 ↑ +304%
Kaiser Commercial|HMO $948.40 ↑ +455%
Kaiser Commercial|PPO $1,043.31 ↑ +511%
Aetna Commercial|AWH $1,303.61 ↑ +663%
Aetna Commercial|All Other Plans $1,533.66 ↑ +798%
Aetna Commercial|WEA $2,146.04 ↑ +1156%

Visitor-reported prices

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Microsatellite instability at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $1,092.00 $313.70 – $1,058.93
Swedish Medical Center Cherry Hill Seattle $1,092.00 $313.70 – $1,045.68
Swedish Issaquah Issaquah $1,092.00 $313.70 – $773.80
Providence Regional Medical Center Everett - Colby Campus Everett $1,183.00 $348.56 – $808.66
MultiCare Valley Hospital Spokane Valley $639.20 $348.56 – $631.94
St. Michael Medical Center Silverdale $240.25 $342.94 – $815.63
St. Anne Hospital Burien $166.22 $234.07 – $690.15
St. Anthony Hospital Gig Harbor $165.57 $326.61 – $690.15

All Washington hospitals for this procedure →