Chemo adm cns w/lmbr punct 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

$225.97

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.

$682.28

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.

$341.14 with Cigna vs $1,654.18 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 $341.14 ↑ +51%
SoundPath Medicare|All Plans $375.95 ↑ +66%
Kaiser Medicare|All Plans $375.95 ↑ +66%
Optum Medicare|All Plans $379.71 ↑ +68%
BCBS - Regence Medicare|All Plans $387.23 ↑ +71%
Aetna Medicare|All Plans $387.23 ↑ +71%
BCBS - Premera Medicare|All Plans $387.23 ↑ +71%
Humana Medicare|All Plans $402.27 ↑ +78%
Molina Medicare|All Plans $406.03 ↑ +80%
United Medicare|All Plans $406.03 ↑ +80%
Amerigroup Medicare|All Plans $409.79 ↑ +81%
Seattle Medical Group Medicare|All Plans $416.87 ↑ +84%
CHPW Medicare|All Plans $432.34 ↑ +91%
Aetna Commercial|Rental $491.25 ↑ +117%
MultiPlan Commercial|All Plans $511.71 ↑ +126%
Molina Commercial|Marketplace Exchange $721.82 ↑ +219%
Coordinated Care Commercial|Ambetter Exchange $744.38 ↑ +229%
Sound Family Medicine Commercial|All Plans $751.90 ↑ +233%
BCBS - Premera Commercial|LifeWise Primary Exchange $783.96 ↑ +247%
Uniform Medical Plan Commercial|All Plans $837.00 ↑ +270%
Kaiser Commercial|HMO $905.03 ↑ +301%
BCBS - Regence Commercial|All Plans $959.75 ↑ +325%
Kaiser Commercial|PPO $995.60 ↑ +341%
First Choice Commercial|All Plans $1,076.25 ↑ +376%
BCBS - Premera Commercial|All Other Plans $1,133.29 ↑ +402%
United Commercial|Navigate $1,186.32 ↑ +425%
United Commercial|Cascade Care $1,248.77 ↑ +453%
United Commercial|All Other Plans $1,248.77 ↑ +453%
Aetna Commercial|AWH $1,406.05 ↑ +522%
Aetna Commercial|All Other Plans $1,654.18 ↑ +632%

Visitor-reported prices

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Chemo adm cns w/lmbr punct at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Mary Bridge Children's Hospital Tacoma $816.40 $362.38 – $2,616.06
MultiCare Allenmore Hospital Tacoma $816.40 $364.19 – $1,585.54
Swedish Medical Center - First Hill Campus Seattle $1,540.80 $382.49 – $1,455.12
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,135.40 $368.07 – $1,114.56
Swedish Medical Center Cherry Hill Seattle $1,540.80 $382.49 – $1,408.68
Swedish Issaquah Issaquah $1,540.80 $280.20 – $1,455.12
Providence St Mary Medical Center Walla Walla $828.10 $202.70 – $680.94
Kadlec Regional Medical Center Richland $620.20 $128.51 – $1,210.54

All Washington hospitals for this procedure →