Bone marrow biopsyneedle/trocar 38221 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

$1,240.34

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.

$3,745.01

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.

$1,356.14 with First Choice vs $8,080.34 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
First Choice Commercial|All Plans $1,356.14 ↑ +9%
SoundPath Medicare|All Plans $1,836.44 ↑ +48%
Kaiser Medicare|All Plans $1,836.44 ↑ +48%
Optum Medicare|All Plans $1,854.80 ↑ +50%
Seattle Medical Group Medicare|All Plans $1,879.38 ↑ +52%
BCBS - Premera Medicare|All Plans $1,891.53 ↑ +53%
Aetna Medicare|All Plans $1,891.53 ↑ +53%
BCBS - Regence Medicare|All Plans $1,891.53 ↑ +53%
Humana Medicare|All Plans $1,964.99 ↑ +58%
Molina Medicare|All Plans $1,983.36 ↑ +60%
United Medicare|All Plans $1,983.36 ↑ +60%
Amerigroup Medicare|All Plans $2,001.72 ↑ +61%
CHPW Medicare|All Plans $2,111.91 ↑ +70%
Aetna Commercial|Rental $2,451.29 ↑ +98%
MultiPlan Commercial|All Plans $2,553.42 ↑ +106%
Molina Commercial|Marketplace Exchange $3,525.96 ↑ +184%
Coordinated Care Commercial|Ambetter Exchange $3,636.15 ↑ +193%
Sound Family Medicine Commercial|All Plans $3,672.88 ↑ +196%
BCBS - Premera Commercial|LifeWise Primary Exchange $3,753.06 ↑ +203%
Uniform Medical Plan Commercial|All Plans $4,006.93 ↑ +223%
Kaiser Commercial|HMO $4,080.13 ↑ +229%
Kaiser Commercial|PPO $4,488.45 ↑ +262%
Cigna Commercial|All Plans $4,556.00 ↑ +267%
BCBS - Regence Commercial|All Plans $4,594.55 ↑ +270%
BCBS - Premera Commercial|All Other Plans $5,425.41 ↑ +337%
United Commercial|Navigate $5,794.90 ↑ +367%
United Commercial|Cascade Care $6,099.99 ↑ +392%
United Commercial|All Other Plans $6,099.99 ↑ +392%
Aetna Commercial|AWH $6,868.29 ↑ +454%
Aetna Commercial|All Other Plans $8,080.34 ↑ +551%

Visitor-reported prices

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Bone marrow biopsyneedle/trocar 38221 at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Mary Bridge Children's Hospital Tacoma $3,129.60 $839.49 – $11,793.96
MultiCare Allenmore Hospital Tacoma $3,129.60 $843.69 – $7,928.07
Providence St Joseph Hospital Chewelah $318.50 not published
Swedish Medical Center - First Hill Campus Seattle $4,420.32 $1,912.53 – $6,684.56
Providence Sacred Heart Medical Center and Children's Hospital Spokane $2,676.10 $1,840.45 – $4,683.94
Swedish Medical Center Cherry Hill Seattle $4,420.32 $1,912.53 – $6,437.49
Swedish Issaquah Issaquah $4,420.32 $1,917.90 – $6,684.56
Providence Mount Carmel Hospital Colville $381.50 not published

All Washington hospitals for this procedure →