Circum 28 days or older 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.

$2,321.86 with SoundPath vs $10,216.18 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
SoundPath Medicare|All Plans $2,321.86
Kaiser Medicare|All Plans $2,321.86
Seattle Medical Group Medicare|All Plans $2,324.71
Optum Medicare|All Plans $2,345.08
Aetna Medicare|All Plans $2,391.52
BCBS - Premera Medicare|All Plans $2,391.52
BCBS - Regence Medicare|All Plans $2,391.52
Humana Medicare|All Plans $2,484.39
United Medicare|All Plans $2,507.61
Molina Medicare|All Plans $2,507.61
Amerigroup Medicare|All Plans $2,530.83
CHPW Medicare|All Plans $2,670.14
Molina Commercial|Marketplace Exchange $4,457.97
Coordinated Care Commercial|Ambetter Exchange $4,597.28
Sound Family Medicine Commercial|All Plans $4,643.72
BCBS - Premera Commercial|LifeWise Primary Exchange $4,714.95
Uniform Medical Plan Commercial|All Plans $5,033.88
Kaiser Commercial|HMO $5,046.94
Kaiser Commercial|PPO $5,552.03
BCBS - Regence Commercial|All Plans $5,772.11
Cigna Commercial|All Plans $5,920.00
BCBS - Premera Commercial|All Other Plans $6,815.91
United Commercial|Navigate $7,326.65
United Commercial|All Other Plans $7,712.37
United Commercial|Cascade Care $7,712.37
Aetna Commercial|AWH $8,683.76
First Choice Commercial|All Plans $8,963.95
Aetna Commercial|All Other Plans $10,216.18
Aetna Commercial|Rental not published by hospital
MultiPlan Commercial|All Plans not published by hospital

Visitor-reported prices

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Circum 28 days or older at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Mary Bridge Children's Hospital Tacoma $1,128.00 $1,387.39 – $14,588.63
MultiCare Allenmore Hospital Tacoma $1,128.00 $1,394.33 – $10,034.34
Swedish Medical Center - First Hill Campus Seattle $5,869.44 $2,420.64 – $8,627.45
Swedish Medical Center Cherry Hill Seattle $5,869.44 $2,420.64 – $8,308.57
Swedish Issaquah Issaquah $5,869.44 $2,427.43 – $8,627.45
MultiCare Auburn Medical Center Auburn $1,128.00 $1,362.29 – $10,034.34
MultiCare Good Samaritan Hospital Puyallup $1,128.00 $1,393.78 – $10,034.34
Virginia Mason Medical Center Seattle $3,365.49 $5.75 – $905.30

All Washington hospitals for this procedure →