Consultation pathology during surgery cytological exam initial site 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

$327.71

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.

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What you pay up front if you don't use insurance.

$989.46

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.

$37.02 with Cigna vs $4,074.00 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 $37.02 ↓ -89%
First Choice Commercial|All Plans $59.10 ↓ -82%
Aetna Commercial|Rental $712.42 ↑ +117%
MultiPlan Commercial|All Plans $742.10 ↑ +126%
SoundPath Medicare|All Plans $925.91 ↑ +183%
Kaiser Medicare|All Plans $925.91 ↑ +183%
Optum Medicare|All Plans $935.17 ↑ +185%
Aetna Medicare|All Plans $953.69 ↑ +191%
BCBS - Regence Medicare|All Plans $953.69 ↑ +191%
BCBS - Premera Medicare|All Plans $953.69 ↑ +191%
Seattle Medical Group Medicare|All Plans $973.20 ↑ +197%
Humana Medicare|All Plans $990.72 ↑ +202%
United Medicare|All Plans $999.98 ↑ +205%
Molina Medicare|All Plans $999.98 ↑ +205%
Amerigroup Medicare|All Plans $1,009.24 ↑ +208%
CHPW Medicare|All Plans $1,064.80 ↑ +225%
Molina Commercial|Marketplace Exchange $1,777.75 ↑ +442%
Coordinated Care Commercial|Ambetter Exchange $1,833.30 ↑ +459%
Sound Family Medicine Commercial|All Plans $1,851.82 ↑ +465%
BCBS - Premera Commercial|LifeWise Primary Exchange $1,990.52 ↑ +507%
Kaiser Commercial|HMO $2,112.81 ↑ +545%
Uniform Medical Plan Commercial|All Plans $2,125.16 ↑ +548%
Kaiser Commercial|PPO $2,324.25 ↑ +609%
BCBS - Regence Commercial|All Plans $2,436.81 ↑ +644%
BCBS - Premera Commercial|All Other Plans $2,877.49 ↑ +778%
United Commercial|Navigate $2,921.72 ↑ +792%
United Commercial|Cascade Care $3,075.54 ↑ +838%
United Commercial|All Other Plans $3,075.54 ↑ +838%
Aetna Commercial|AWH $3,462.90 ↑ +957%
Aetna Commercial|All Other Plans $4,074.00 ↑ +1143%

Visitor-reported prices

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Consultation pathology during surgery cytological exam initial site at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Mary Bridge Children's Hospital Tacoma $518.00 $26.02 – $6,107.25
MultiCare Allenmore Hospital Tacoma $518.00 $26.15 – $3,867.44
Providence St Joseph Hospital Chewelah $425.60 not published
Swedish Medical Center - First Hill Campus Seattle $77.28 $61.29 – $2,952.54
Providence Sacred Heart Medical Center and Children's Hospital Spokane $286.30 $67.42 – $2,284.91
Swedish Medical Center Cherry Hill Seattle $77.28 $61.29 – $2,858.31
Swedish Issaquah Issaquah $77.28 $61.29 – $2,952.54
Central Medical Center Seattle $1,939.20 $2,020.00 – $2,020.00

All Washington hospitals for this procedure →