Rmvl perm pm pulse gen 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

$4,342.09

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.

$13,836.09

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.

$5,920.00 with Cigna vs $41,273.45 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
Cigna Commercial|All Plans $5,920.00 ↑ +36%
First Choice Commercial|All Plans $8,656.94 ↑ +99%
SoundPath Medicare|All Plans $9,211.50 ↑ +112%
Kaiser Medicare|All Plans $9,211.50 ↑ +112%
Optum Medicare|All Plans $9,303.61 ↑ +114%
BCBS - Premera Medicare|All Plans $9,487.84 ↑ +119%
Aetna Medicare|All Plans $9,487.84 ↑ +119%
BCBS - Regence Medicare|All Plans $9,487.84 ↑ +119%
Humana Medicare|All Plans $9,856.31 ↑ +127%
United Medicare|All Plans $9,948.42 ↑ +129%
Molina Medicare|All Plans $9,948.42 ↑ +129%
Aetna Commercial|Rental $9,961.99 ↑ +129%
Amerigroup Medicare|All Plans $10,040.53 ↑ +131%
MultiPlan Commercial|All Plans $10,377.07 ↑ +139%
Seattle Medical Group Medicare|All Plans $10,593.22 ↑ +144%
CHPW Medicare|All Plans $10,593.23 ↑ +144%
Sound Family Medicine Commercial|All Plans $17,501.85 ↑ +303%
Molina Commercial|Marketplace Exchange $17,686.08 ↑ +307%
Coordinated Care Commercial|Ambetter Exchange $18,238.77 ↑ +320%
BCBS - Premera Commercial|LifeWise Primary Exchange $19,666.35 ↑ +353%
Uniform Medical Plan Commercial|All Plans $20,996.61 ↑ +384%
Kaiser Commercial|HMO $22,210.08 ↑ +412%
BCBS - Regence Commercial|All Plans $24,075.80 ↑ +454%
Kaiser Commercial|PPO $24,432.80 ↑ +463%
BCBS - Premera Commercial|All Other Plans $28,429.59 ↑ +555%
United Commercial|Navigate $29,599.70 ↑ +582%
United Commercial|Cascade Care $31,158.02 ↑ +618%
United Commercial|All Other Plans $31,158.02 ↑ +618%
Aetna Commercial|AWH $35,082.43 ↑ +708%
Aetna Commercial|All Other Plans $41,273.45 ↑ +851%

Visitor-reported prices

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Rmvl perm pm pulse gen at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $26,473.44 $7,277.00 – $37,215.81
Providence Sacred Heart Medical Center and Children's Hospital Spokane $4,540.20 $8,066.00 – $23,689.74
Swedish Medical Center Cherry Hill Seattle $26,473.44 $7,277.00 – $35,840.28
Swedish Issaquah Issaquah $26,473.44 $7,277.00 – $37,215.81
Central Medical Center Seattle $20,231.20 not published
Providence St Mary Medical Center Walla Walla $2,741.90 $7,527.99 – $17,060.02
Kadlec Regional Medical Center Richland $9,568.30 $397.59 – $28,351.26
Providence Regional Medical Center Everett - Colby Campus Everett $7,673.12 $6,914.00 – $28,962.61

All Washington hospitals for this procedure →