Refill maint impl spine pump 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

$268.35

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.

$855.08

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.

$328.56 with Kaiser vs $1,472.15 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
Kaiser Medicare|All Plans $328.56 ↑ +22%
SoundPath Medicare|All Plans $328.56 ↑ +22%
Optum Medicare|All Plans $331.85 ↑ +24%
BCBS - Premera Medicare|All Plans $338.42 ↑ +26%
Aetna Medicare|All Plans $338.42 ↑ +26%
BCBS - Regence Medicare|All Plans $338.42 ↑ +26%
Humana Medicare|All Plans $351.56 ↑ +31%
United Medicare|All Plans $354.84 ↑ +32%
Molina Medicare|All Plans $354.84 ↑ +32%
Amerigroup Medicare|All Plans $358.13 ↑ +33%
CHPW Medicare|All Plans $377.84 ↑ +41%
Seattle Medical Group Medicare|All Plans $377.84 ↑ +41%
Aetna Commercial|Rental $615.66 ↑ +129%
Sound Family Medicine Commercial|All Plans $624.26 ↑ +133%
Molina Commercial|Marketplace Exchange $630.84 ↑ +135%
MultiPlan Commercial|All Plans $641.31 ↑ +139%
Coordinated Care Commercial|Ambetter Exchange $650.55 ↑ +142%
First Choice Commercial|All Plans $656.00 ↑ +144%
BCBS - Premera Commercial|LifeWise Primary Exchange $685.62 ↑ +155%
Uniform Medical Plan Commercial|All Plans $732.00 ↑ +173%
Kaiser Commercial|HMO $739.79 ↑ +176%
Kaiser Commercial|PPO $813.82 ↑ +203%
BCBS - Regence Commercial|All Plans $839.35 ↑ +213%
BCBS - Premera Commercial|All Other Plans $991.13 ↑ +269%
United Commercial|Navigate $1,055.79 ↑ +293%
United Commercial|Cascade Care $1,111.37 ↑ +314%
United Commercial|All Other Plans $1,111.37 ↑ +314%
Aetna Commercial|AWH $1,251.33 ↑ +366%
Aetna Commercial|All Other Plans $1,472.15 ↑ +449%

Visitor-reported prices

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Refill maint impl spine pump at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $863.80 $342.05 – $870.52
Providence Holy Family Hospital Spokane $929.60 $342.05 – $897.88
MultiCare Yakima Memorial Hospital Yakima $331.60 $366.19 – $921.83
St. Michael Medical Center Silverdale $377.39 $538.71 – $1,281.42
St. Anne Hospital Burien $261.11 $367.69 – $769.58
St. Anthony Hospital Gig Harbor $260.08 $615.66 – $739.79
MultiCare Auburn Medical Center Auburn $417.20 $30.66 – $1,473.43
MultiCare Good Samaritan Hospital Puyallup $417.20 $31.36 – $1,473.43

All Washington hospitals for this procedure →