Revision open av fistula without thromb 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

$3,288.53

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.

$10,478.92

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.

$6,016.76 with Kaiser vs $26,958.98 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 $6,016.76 ↑ +83%
SoundPath Medicare|All Plans $6,016.76 ↑ +83%
Optum Medicare|All Plans $6,076.93 ↑ +85%
BCBS - Premera Medicare|All Plans $6,197.26 ↑ +88%
BCBS - Regence Medicare|All Plans $6,197.26 ↑ +88%
Aetna Medicare|All Plans $6,197.26 ↑ +88%
Humana Medicare|All Plans $6,437.93 ↑ +96%
Molina Medicare|All Plans $6,498.10 ↑ +98%
United Medicare|All Plans $6,498.10 ↑ +98%
Amerigroup Medicare|All Plans $6,558.27 ↑ +99%
Seattle Medical Group Medicare|All Plans $6,919.27 ↑ +110%
CHPW Medicare|All Plans $6,919.27 ↑ +110%
Aetna Commercial|Rental $7,544.83 ↑ +129%
MultiPlan Commercial|All Plans $7,859.19 ↑ +139%
Cigna Commercial|All Plans $8,016.00 ↑ +144%
Sound Family Medicine Commercial|All Plans $11,431.84 ↑ +248%
Molina Commercial|Marketplace Exchange $11,552.18 ↑ +251%
Coordinated Care Commercial|Ambetter Exchange $11,913.18 ↑ +262%
BCBS - Premera Commercial|LifeWise Primary Exchange $12,720.99 ↑ +287%
Uniform Medical Plan Commercial|All Plans $13,581.45 ↑ +313%
Kaiser Commercial|HMO $13,984.77 ↑ +325%
Kaiser Commercial|PPO $15,384.33 ↑ +368%
BCBS - Regence Commercial|All Plans $15,573.20 ↑ +374%
First Choice Commercial|All Plans $15,591.87 ↑ +374%
BCBS - Premera Commercial|All Other Plans $18,389.42 ↑ +459%
United Commercial|Navigate $19,333.92 ↑ +488%
United Commercial|Cascade Care $20,351.78 ↑ +519%
United Commercial|All Other Plans $20,351.78 ↑ +519%
Aetna Commercial|AWH $22,915.13 ↑ +597%
Aetna Commercial|All Other Plans $26,958.98 ↑ +720%

Visitor-reported prices

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Revision open av fistula without thromb at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $11,996.00 not published
Kadlec Regional Medical Center Richland $15,318.80 $1,274.78 – $17,051.86
Providence Regional Medical Center Everett - Colby Campus Everett $8,758.88 $6,336.85 – $17,419.56
MultiCare Valley Hospital Spokane Valley $7,291.20 $2,393.14 – $22,871.93
MultiCare Yakima Memorial Hospital Yakima $8,858.00 $6,638.35 – $17,103.54
St. Michael Medical Center Silverdale $4,624.86 $6,601.72 – $24,223.69
St. Anne Hospital Burien $3,199.80 $4,505.94 – $9,431.03
St. Anthony Hospital Gig Harbor $3,187.15 $7,544.83 – $13,984.77

All Washington hospitals for this procedure →