Myelography thoracic spine 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

$1,094.25

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.

$3,486.81

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.

$879.37 with SoundPath vs $3,940.16 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
SoundPath Medicare|All Plans $879.37 ↓ -20%
Kaiser Medicare|All Plans $879.37 ↓ -20%
Optum Medicare|All Plans $888.16 ↓ -19%
Aetna Medicare|All Plans $905.75 ↓ -17%
BCBS - Regence Medicare|All Plans $905.75 ↓ -17%
BCBS - Premera Medicare|All Plans $905.75 ↓ -17%
Humana Medicare|All Plans $940.93 ↓ -14%
United Medicare|All Plans $949.72 ↓ -13%
Molina Medicare|All Plans $949.72 ↓ -13%
Amerigroup Medicare|All Plans $958.51 ↓ -12%
CHPW Medicare|All Plans $1,011.28 ↓ -8%
Seattle Medical Group Medicare|All Plans $1,011.28 ↓ -8%
Cigna Commercial|All Plans $1,396.62 ↑ +28%
Sound Family Medicine Commercial|All Plans $1,670.80 ↑ +53%
Molina Commercial|Marketplace Exchange $1,688.39 ↑ +54%
Coordinated Care Commercial|Ambetter Exchange $1,741.15 ↑ +59%
BCBS - Premera Commercial|LifeWise Primary Exchange $1,853.46 ↑ +69%
Uniform Medical Plan Commercial|All Plans $1,978.83 ↑ +81%
Kaiser Commercial|HMO $2,015.51 ↑ +84%
Kaiser Commercial|PPO $2,217.21 ↑ +103%
BCBS - Regence Commercial|All Plans $2,269.03 ↑ +107%
Aetna Commercial|Rental $2,510.51 ↑ +129%
First Choice Commercial|All Plans $2,560.63 ↑ +134%
MultiPlan Commercial|All Plans $2,615.11 ↑ +139%
BCBS - Premera Commercial|All Other Plans $2,679.36 ↑ +145%
United Commercial|Navigate $2,825.70 ↑ +158%
United Commercial|All Other Plans $2,974.46 ↑ +172%
United Commercial|Cascade Care $2,974.46 ↑ +172%
Aetna Commercial|AWH $3,349.13 ↑ +206%
Aetna Commercial|All Other Plans $3,940.16 ↑ +260%

Visitor-reported prices

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Myelography thoracic spine at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $1,490.40 $907.77 – $3,199.85
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,286.60 $770.34 – $2,450.95
Swedish Medical Center Cherry Hill Seattle $1,490.40 $907.77 – $3,097.73
Swedish Issaquah Issaquah $1,490.40 $263.51 – $3,199.85
Central Medical Center Seattle $2,720.00 $791.00 – $791.00
Providence St Mary Medical Center Walla Walla $2,793.00 $409.43 – $1,616.08
Kadlec Regional Medical Center Richland $1,558.20 $202.53 – $2,662.01
Providence Holy Family Hospital Spokane $2,549.40 $357.37 – $2,742.27

All Washington hospitals for this procedure →