Tongue biopsy; posterior one-third 41105 at St. Francis Hospital
34515 Ninth Avenue South, Federal Way, WA · Vmfh · · NPI 1093713091
$1,281.82
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.
$4,084.50
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.
$2,940.84 with Aetna vs $16,173.65 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 |
|---|---|---|---|
| Aetna | Commercial|Rental | $2,940.84 | ↑ +129% |
| MultiPlan | Commercial|All Plans | $3,063.38 | ↑ +139% |
| SoundPath | Medicare|All Plans | $3,609.67 | ↑ +182% |
| Kaiser | Medicare|All Plans | $3,609.67 | ↑ +182% |
| Optum | Medicare|All Plans | $3,645.77 | ↑ +184% |
| Aetna | Medicare|All Plans | $3,717.96 | ↑ +190% |
| BCBS - Regence | Medicare|All Plans | $3,717.96 | ↑ +190% |
| BCBS - Premera | Medicare|All Plans | $3,717.96 | ↑ +190% |
| Humana | Medicare|All Plans | $3,862.35 | ↑ +201% |
| United | Medicare|All Plans | $3,898.44 | ↑ +204% |
| Molina | Medicare|All Plans | $3,898.44 | ↑ +204% |
| Amerigroup | Medicare|All Plans | $3,934.54 | ↑ +207% |
| Seattle Medical Group | Medicare|All Plans | $4,151.12 | ↑ +224% |
| CHPW | Medicare|All Plans | $4,151.12 | ↑ +224% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +362% |
| First Choice | Commercial|All Plans | $6,410.77 | ↑ +400% |
| Sound Family Medicine | Commercial|All Plans | $6,858.37 | ↑ +435% |
| Molina | Commercial|Marketplace Exchange | $6,930.57 | ↑ +441% |
| Coordinated Care | Commercial|Ambetter Exchange | $7,147.15 | ↑ +458% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $7,452.98 | ↑ +481% |
| Kaiser | Commercial|HMO | $7,741.04 | ↑ +504% |
| Uniform Medical Plan | Commercial|All Plans | $7,957.10 | ↑ +521% |
| Kaiser | Commercial|PPO | $8,515.74 | ↑ +564% |
| BCBS - Regence | Commercial|All Plans | $9,124.02 | ↑ +612% |
| BCBS - Premera | Commercial|All Other Plans | $10,774.00 | ↑ +741% |
| United | Commercial|Navigate | $11,599.09 | ↑ +805% |
| United | Commercial|Cascade Care | $12,209.74 | ↑ +853% |
| United | Commercial|All Other Plans | $12,209.74 | ↑ +853% |
| Aetna | Commercial|AWH | $13,747.60 | ↑ +973% |
| Aetna | Commercial|All Other Plans | $16,173.65 | ↑ +1162% |
Visitor-reported prices
Comments
Tongue biopsy; posterior one-third 41105 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Michael Medical Center | Silverdale | $1,802.69 | $2,573.24 – $13,408.63 |
| St. Anne Hospital | Burien | $1,247.23 | $1,756.34 – $3,676.05 |
| St. Anthony Hospital | Gig Harbor | $1,242.30 | $2,940.84 – $7,741.04 |
| St. Joseph Medical Center | Tacoma | $1,352.78 | $2,940.84 – $7,741.04 |
| St. Elizabeth Hospital | Enumclaw | $1,443.32 | $694.37 – $3,676.05 |
| Virginia Mason Medical Center | Seattle | $3,306.33 | $5.53 – $476.48 |
| St. Clare Hospital | Lakewood | $1,177.32 | $2,940.84 – $7,741.04 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $3,694.56 – $4,064.02 |