Bx perianal mass at St. Joseph Medical Center
1717 South J Street, Tacoma, WA · Vmfh · · NPI 1952309098
not published by hospital
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.
not published by hospital
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.
$0.70 with Cigna vs $4,546.83 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.70 | — |
| Kaiser | Medicare|All Plans | $1,033.37 | — |
| SoundPath | Medicare|All Plans | $1,033.37 | — |
| Seattle Medical Group | Medicare|All Plans | $1,041.53 | — |
| Optum | Medicare|All Plans | $1,043.70 | — |
| BCBS - Premera | Medicare|All Plans | $1,064.37 | — |
| Aetna | Medicare|All Plans | $1,064.37 | — |
| BCBS - Regence | Medicare|All Plans | $1,064.37 | — |
| Humana | Medicare|All Plans | $1,105.71 | — |
| Molina | Medicare|All Plans | $1,116.04 | — |
| United | Medicare|All Plans | $1,116.04 | — |
| Amerigroup | Medicare|All Plans | $1,126.37 | — |
| CHPW | Medicare|All Plans | $1,188.38 | — |
| Molina | Commercial|Marketplace Exchange | $1,984.07 | — |
| Coordinated Care | Commercial|Ambetter Exchange | $2,046.07 | — |
| Sound Family Medicine | Commercial|All Plans | $2,066.74 | — |
| First Choice | Commercial|All Plans | $2,112.38 | — |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $2,115.70 | — |
| Uniform Medical Plan | Commercial|All Plans | $2,258.79 | — |
| Kaiser | Commercial|HMO | $2,261.18 | — |
| Kaiser | Commercial|PPO | $2,487.47 | — |
| BCBS - Regence | Commercial|All Plans | $2,590.05 | — |
| BCBS - Premera | Commercial|All Other Plans | $3,058.44 | — |
| United | Commercial|Navigate | $3,260.80 | — |
| United | Commercial|Cascade Care | $3,432.47 | — |
| United | Commercial|All Other Plans | $3,432.47 | — |
| Aetna | Commercial|AWH | $3,864.80 | — |
| Aetna | Commercial|All Other Plans | $4,546.83 | — |
| Aetna | Commercial|Rental | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Bx perianal mass at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MultiCare Mary Bridge Children's Hospital | Tacoma | not published | $1,040.91 – $6,536.13 |
| MultiCare Allenmore Hospital | Tacoma | not published | $1,046.12 – $4,464.03 |
| Providence St Joseph Hospital | Chewelah | $1,600.20 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,810.90 | $1,036.29 – $2,637.37 |
| Providence Centralia Hospital | Centralia | $1,736.28 | $1,076.88 – $4,468.70 |
| Providence Mount Carmel Hospital | Colville | $1,923.60 | not published |
| Providence St Mary Medical Center | Walla Walla | $3,235.40 | $809.85 – $3,468.02 |
| Kadlec Regional Medical Center | Richland | $3,887.80 | $1,036.29 – $2,833.99 |