Abdominal paracentesis w/image guidance at St. Joseph Medical Center

1717 South J Street, Tacoma, WA · Vmfh · · NPI 1952309098

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 17, 2026

$791.60

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.

$2,390.09

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.

$1,034.61 with Seattle Medical Group vs $4,675.75 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
Seattle Medical Group Medicare|All Plans $1,034.61 ↑ +31%
SoundPath Medicare|All Plans $1,062.67 ↑ +34%
Kaiser Medicare|All Plans $1,062.67 ↑ +34%
Optum Medicare|All Plans $1,073.30 ↑ +36%
BCBS - Premera Medicare|All Plans $1,094.55 ↑ +38%
Aetna Medicare|All Plans $1,094.55 ↑ +38%
BCBS - Regence Medicare|All Plans $1,094.55 ↑ +38%
Humana Medicare|All Plans $1,137.06 ↑ +44%
United Medicare|All Plans $1,147.68 ↑ +45%
Molina Medicare|All Plans $1,147.68 ↑ +45%
Amerigroup Medicare|All Plans $1,158.31 ↑ +46%
CHPW Medicare|All Plans $1,222.07 ↑ +54%
Aetna Commercial|Rental $1,720.87 ↑ +117%
MultiPlan Commercial|All Plans $1,792.57 ↑ +126%
Molina Commercial|Marketplace Exchange $2,040.33 ↑ +158%
First Choice Commercial|All Plans $2,092.18 ↑ +164%
BCBS - Premera Commercial|LifeWise Primary Exchange $2,098.39 ↑ +165%
Coordinated Care Commercial|Ambetter Exchange $2,104.09 ↑ +166%
Sound Family Medicine Commercial|All Plans $2,125.34 ↑ +168%
Uniform Medical Plan Commercial|All Plans $2,240.33 ↑ +183%
Kaiser Commercial|HMO $2,246.13 ↑ +184%
Kaiser Commercial|PPO $2,470.92 ↑ +212%
BCBS - Regence Commercial|All Plans $2,568.87 ↑ +225%
BCBS - Premera Commercial|All Other Plans $3,033.43 ↑ +283%
United Commercial|Navigate $3,353.25 ↑ +324%
United Commercial|Cascade Care $3,529.79 ↑ +346%
United Commercial|All Other Plans $3,529.79 ↑ +346%
Aetna Commercial|AWH $3,974.39 ↑ +402%
Cigna Commercial|All Plans $4,556.00 ↑ +476%
Aetna Commercial|All Other Plans $4,675.75 ↑ +491%

Visitor-reported prices

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Abdominal paracentesis w/image guidance at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Mary Bridge Children's Hospital Tacoma $953.20 $522.24 – $6,492.64
MultiCare Allenmore Hospital Tacoma $953.20 $524.85 – $4,353.73
Providence St Joseph Hospital Chewelah $800.10 not published
Swedish Medical Center - First Hill Campus Seattle $2,480.64 $1,050.28 – $3,693.82
Providence Sacred Heart Medical Center and Children's Hospital Spokane $2,401.70 $1,010.69 – $2,572.22
Swedish Medical Center Cherry Hill Seattle $2,480.64 $1,050.28 – $3,575.94
Swedish Issaquah Issaquah $2,480.64 $1,053.23 – $3,693.82
Providence Centralia Hospital Centralia $1,761.76 $1,050.28 – $4,597.63

All Washington hospitals for this procedure →