Bx of breast open 19101 at St. Joseph Medical Center
1717 South J Street, Tacoma, WA · Vmfh · · NPI 1952309098
$2,222.11
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.
$6,709.29
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.
$4,308.57 with Seattle Medical Group vs $19,097.14 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 |
|---|---|---|---|
| Seattle Medical Group | Medicare|All Plans | $4,308.57 | ↑ +94% |
| SoundPath | Medicare|All Plans | $4,340.26 | ↑ +95% |
| Kaiser | Medicare|All Plans | $4,340.26 | ↑ +95% |
| Optum | Medicare|All Plans | $4,383.66 | ↑ +97% |
| BCBS - Premera | Medicare|All Plans | $4,470.47 | ↑ +101% |
| Aetna | Medicare|All Plans | $4,470.47 | ↑ +101% |
| BCBS - Regence | Medicare|All Plans | $4,470.47 | ↑ +101% |
| Humana | Medicare|All Plans | $4,644.08 | ↑ +109% |
| Molina | Medicare|All Plans | $4,687.48 | ↑ +111% |
| United | Medicare|All Plans | $4,687.48 | ↑ +111% |
| Amerigroup | Medicare|All Plans | $4,730.88 | ↑ +113% |
| Aetna | Commercial|Rental | $4,830.69 | ↑ +117% |
| CHPW | Medicare|All Plans | $4,991.30 | ↑ +125% |
| MultiPlan | Commercial|All Plans | $5,031.97 | ↑ +126% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +166% |
| Molina | Commercial|Marketplace Exchange | $8,333.30 | ↑ +275% |
| Coordinated Care | Commercial|Ambetter Exchange | $8,593.71 | ↑ +287% |
| Sound Family Medicine | Commercial|All Plans | $8,680.52 | ↑ +291% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $8,823.66 | ↑ +297% |
| Kaiser | Commercial|HMO | $9,353.91 | ↑ +321% |
| Uniform Medical Plan | Commercial|All Plans | $9,420.50 | ↑ +324% |
| First Choice | Commercial|All Plans | $9,688.26 | ↑ +336% |
| Kaiser | Commercial|PPO | $10,290.02 | ↑ +363% |
| BCBS - Regence | Commercial|All Plans | $10,802.03 | ↑ +386% |
| BCBS - Premera | Commercial|All Other Plans | $12,755.44 | ↑ +474% |
| United | Commercial|Navigate | $13,695.73 | ↑ +516% |
| United | Commercial|Cascade Care | $14,416.76 | ↑ +549% |
| United | Commercial|All Other Plans | $14,416.76 | ↑ +549% |
| Aetna | Commercial|AWH | $16,232.57 | ↑ +631% |
| Aetna | Commercial|All Other Plans | $19,097.14 | ↑ +759% |
Visitor-reported prices
Comments
Bx of breast open 19101 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MultiCare Mary Bridge Children's Hospital | Tacoma | $8,575.20 | $988.68 – $27,038.30 |
| MultiCare Allenmore Hospital | Tacoma | $8,575.20 | $993.63 – $18,794.97 |
| Swedish Medical Center - First Hill Campus | Seattle | $8,940.48 | $4,534.03 – $14,753.91 |
| Swedish Medical Center Cherry Hill | Seattle | $8,940.48 | $4,534.03 – $14,208.59 |
| Swedish Issaquah | Issaquah | $8,940.48 | $4,546.75 – $14,753.91 |
| Central Medical Center | Seattle | $8,320.80 | not published |
| St. Michael Medical Center | Silverdale | $2,961.14 | $4,226.86 – $16,202.35 |
| St. Anne Hospital | Burien | $2,048.72 | $2,885.00 – $6,038.37 |