Surgical pathology level 5 gross & microscopic examination at St. Francis Hospital
34515 Ninth Avenue South, Federal Way, WA · Vmfh · · NPI 1093713091
$301.75
Cash price 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.
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What you pay up front if you don't use insurance.
$961.52
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$199.51 with First Choice vs $1,793.97 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 →
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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 ?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 ?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 | $199.51 | ↓ -34% |
| Cigna | Commercial|All Plans | $267.58 | ↓ -11% |
| SoundPath | Medicare|All Plans | $400.38 | ↑ +33% |
| Kaiser | Medicare|All Plans | $400.38 | ↑ +33% |
| Optum | Medicare|All Plans | $404.38 | ↑ +34% |
| BCBS - Regence | Medicare|All Plans | $412.39 | ↑ +37% |
| Aetna | Medicare|All Plans | $412.39 | ↑ +37% |
| BCBS - Premera | Medicare|All Plans | $412.39 | ↑ +37% |
| Humana | Medicare|All Plans | $428.41 | ↑ +42% |
| United | Medicare|All Plans | $432.41 | ↑ +43% |
| Molina | Medicare|All Plans | $432.41 | ↑ +43% |
| Amerigroup | Medicare|All Plans | $436.41 | ↑ +45% |
| Seattle Medical Group | Medicare|All Plans | $460.44 | ↑ +53% |
| CHPW | Medicare|All Plans | $460.44 | ↑ +53% |
| Aetna | Commercial|Rental | $692.30 | ↑ +129% |
| MultiPlan | Commercial|All Plans | $721.14 | ↑ +139% |
| Sound Family Medicine | Commercial|All Plans | $760.72 | ↑ +152% |
| Molina | Commercial|Marketplace Exchange | $768.73 | ↑ +155% |
| Coordinated Care | Commercial|Ambetter Exchange | $792.75 | ↑ +163% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $832.07 | ↑ +176% |
| Kaiser | Commercial|HMO | $881.87 | ↑ +192% |
| Uniform Medical Plan | Commercial|All Plans | $888.36 | ↑ +194% |
| Kaiser | Commercial|PPO | $970.13 | ↑ +222% |
| BCBS - Regence | Commercial|All Plans | $1,018.64 | ↑ +238% |
| BCBS - Premera | Commercial|All Other Plans | $1,202.83 | ↑ +299% |
| United | Commercial|Navigate | $1,286.56 | ↑ +326% |
| United | Commercial|Cascade Care | $1,354.29 | ↑ +349% |
| United | Commercial|All Other Plans | $1,354.29 | ↑ +349% |
| Aetna | Commercial|AWH | $1,524.87 | ↑ +405% |
| Aetna | Commercial|All Other Plans | $1,793.97 | ↑ +495% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $291.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $252.48 | $400.35 – $1,332.03 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $492.10 | $399.43 – $1,020.28 |
| Swedish Medical Center Cherry Hill | Seattle | $252.48 | $400.35 – $1,289.52 |
| Swedish Issaquah | Issaquah | $252.48 | $400.35 – $1,332.03 |
| Central Medical Center | Seattle | $993.60 | $1,035.00 – $1,035.00 |
| Providence Centralia Hospital | Centralia | $500.76 | $415.08 – $1,765.64 |
| Providence Mount Carmel Hospital | Colville | $254.80 | not published |