Adjmt/revj ext fixj sys anes 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

not published by hospital

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.

not published by hospital

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.

$6,630.00 with Cigna vs $35,626.76 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 $6,630.00
Kaiser Medicare|All Plans $8,096.99
SoundPath Medicare|All Plans $8,096.99
Optum Medicare|All Plans $8,177.96
Seattle Medical Group Medicare|All Plans $8,290.07
BCBS - Regence Medicare|All Plans $8,339.90
Aetna Medicare|All Plans $8,339.90
BCBS - Premera Medicare|All Plans $8,339.90
Humana Medicare|All Plans $8,663.78
United Medicare|All Plans $8,744.75
Molina Medicare|All Plans $8,744.75
Amerigroup Medicare|All Plans $8,825.72
CHPW Medicare|All Plans $9,311.54
First Choice Commercial|All Plans $12,310.14
Molina Commercial|Marketplace Exchange $15,546.22
Coordinated Care Commercial|Ambetter Exchange $16,032.04
Sound Family Medicine Commercial|All Plans $16,193.98
BCBS - Premera Commercial|LifeWise Primary Exchange $16,560.70
Uniform Medical Plan Commercial|All Plans $17,680.88
Kaiser Commercial|HMO $17,997.75
Kaiser Commercial|PPO $19,798.91
BCBS - Regence Commercial|All Plans $20,273.81
BCBS - Premera Commercial|All Other Plans $23,940.07
United Commercial|Navigate $25,550.12
United Commercial|Cascade Care $26,895.24
United Commercial|All Other Plans $26,895.24
Aetna Commercial|AWH $30,282.74
Aetna Commercial|All Other Plans $35,626.76
Aetna Commercial|Rental not published by hospital
MultiPlan Commercial|All Plans not published by hospital

Visitor-reported prices

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Adjmt/revj ext fixj sys anes at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Mary Bridge Children's Hospital Tacoma not published $1,700.97 – $52,024.06
MultiCare Allenmore Hospital Tacoma not published $1,709.48 – $34,831.50
Providence St Joseph Hospital Chewelah $12,733.70 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $14,415.10 $8,085.92 – $20,578.67
Providence Centralia Hospital Centralia $13,820.04 $8,402.62 – $34,994.41
Providence Mount Carmel Hospital Colville $15,309.70 not published
Providence St Mary Medical Center Walla Walla $6,874.70 $6,339.19 – $14,958.96
Kadlec Regional Medical Center Richland $8,261.40 $753.29 – $22,193.03

All Washington hospitals for this procedure →