Control oropharyngeal hemorr/simp 42960 at St. Joseph Medical Center
1717 South J Street, Tacoma, WA · Vmfh · · NPI 1952309098
$237.50
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.
$717.09
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.
$406.71 with First Choice vs $4,556.00 with Cigna — 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 |
|---|---|---|---|
| First Choice | Commercial|All Plans | $406.71 | ↑ +71% |
| Aetna | Commercial|Rental | $516.31 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $537.82 | ↑ +126% |
| Seattle Medical Group | Medicare|All Plans | $572.53 | ↑ +141% |
| Kaiser | Medicare|All Plans | $577.20 | ↑ +143% |
| SoundPath | Medicare|All Plans | $577.20 | ↑ +143% |
| Optum | Medicare|All Plans | $582.97 | ↑ +145% |
| Aetna | Medicare|All Plans | $594.52 | ↑ +150% |
| BCBS - Premera | Medicare|All Plans | $594.52 | ↑ +150% |
| BCBS - Regence | Medicare|All Plans | $594.52 | ↑ +150% |
| Humana | Medicare|All Plans | $617.60 | ↑ +160% |
| United | Medicare|All Plans | $623.38 | ↑ +162% |
| Molina | Medicare|All Plans | $623.38 | ↑ +162% |
| Amerigroup | Medicare|All Plans | $629.15 | ↑ +165% |
| CHPW | Medicare|All Plans | $663.78 | ↑ +179% |
| Molina | Commercial|Marketplace Exchange | $1,108.22 | ↑ +367% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,142.86 | ↑ +381% |
| Sound Family Medicine | Commercial|All Plans | $1,154.40 | ↑ +386% |
| Kaiser | Commercial|HMO | $1,242.96 | ↑ +423% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $1,273.65 | ↑ +436% |
| Uniform Medical Plan | Commercial|All Plans | $1,359.80 | ↑ +473% |
| Kaiser | Commercial|PPO | $1,367.35 | ↑ +476% |
| BCBS - Regence | Commercial|All Plans | $1,559.22 | ↑ +557% |
| United | Commercial|Navigate | $1,821.38 | ↑ +667% |
| BCBS - Premera | Commercial|All Other Plans | $1,841.19 | ↑ +675% |
| United | Commercial|Cascade Care | $1,917.27 | ↑ +707% |
| United | Commercial|All Other Plans | $1,917.27 | ↑ +707% |
| Aetna | Commercial|AWH | $2,158.73 | ↑ +809% |
| Aetna | Commercial|All Other Plans | $2,539.68 | ↑ +969% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +1818% |
Visitor-reported prices
Comments
Control oropharyngeal hemorr/simp 42960 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MultiCare Mary Bridge Children's Hospital | Tacoma | $321.60 | $635.35 – $3,592.89 |
| MultiCare Allenmore Hospital | Tacoma | $321.60 | $616.84 – $2,588.91 |
| Providence St Joseph Hospital | Chewelah | $299.60 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $636.48 | $624.54 – $2,076.08 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $314.30 | $601.00 – $1,529.54 |
| Swedish Medical Center Cherry Hill | Seattle | $636.48 | $624.54 – $2,009.83 |
| Swedish Issaquah | Issaquah | $636.48 | $626.29 – $2,076.08 |
| Providence Centralia Hospital | Centralia | $1,406.08 | $624.54 – $2,584.06 |