Dactinomycin 0.5 mg intravenous solution 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

$1,100.09

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.

Full explanation →

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

$3,321.55

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$324.80 with United vs $2,491.17 with MultiPlan — same scan, same building. Share

Negotiated rates by payer
?

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
United Commercial|All Other Plans $324.80 ↓ -70%
United Commercial|Cascade Care $324.80 ↓ -70%
United Commercial|Navigate $324.80 ↓ -70%
SoundPath Medicare|All Plans $343.35 ↓ -69%
Kaiser Medicare|All Plans $343.35 ↓ -69%
Optum Medicare|All Plans $346.78 ↓ -68%
BCBS - Regence Medicare|All Plans $353.65 ↓ -68%
Aetna Medicare|All Plans $353.65 ↓ -68%
BCBS - Premera Medicare|All Plans $353.65 ↓ -68%
Humana Medicare|All Plans $367.38 ↓ -67%
Molina Medicare|All Plans $370.82 ↓ -66%
United Medicare|All Plans $370.82 ↓ -66%
Amerigroup Medicare|All Plans $374.25 ↓ -66%
CHPW Medicare|All Plans $394.85 ↓ -64%
Uniform Medical Plan Commercial|All Plans $397.51 ↓ -64%
BCBS - Regence Commercial|All Plans $397.51 ↓ -64%
BCBS - Premera Commercial|LifeWise Primary Exchange $668.90 ↓ -39%
BCBS - Premera Commercial|All Other Plans $668.90 ↓ -39%
Coordinated Care Commercial|Ambetter Exchange $679.83 ↓ -38%
Sound Family Medicine Commercial|All Plans $686.70 ↓ -38%
Molina Commercial|Marketplace Exchange $706.83 ↓ -36%
Seattle Medical Group Medicare|All Plans $757.98 ↓ -31%
Aetna Commercial|AWH $1,376.84 ↑ +25%
Aetna Commercial|All Other Plans $1,619.82 ↑ +47%
Kaiser Commercial|HMO $1,639.50 ↑ +49%
Cigna Commercial|All Plans $1,660.78 ↑ +51%
Kaiser Commercial|PPO $1,803.49 ↑ +64%
First Choice Commercial|All Plans $2,339.61 ↑ +113%
Aetna Commercial|Rental $2,391.52 ↑ +117%
MultiPlan Commercial|All Plans $2,491.17 ↑ +126%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Dactinomycin 0.5 mg intravenous solution at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Mary Bridge Children's Hospital Tacoma $1,776.70 $337.67 – $4,299.09
MultiCare Allenmore Hospital Tacoma not published $330.92 – $2,723.73
Swedish Medical Center - First Hill Campus Seattle $6,972.71 $337.67 – $2,882.91
Providence Sacred Heart Medical Center and Children's Hospital Spokane $6,233.34 $337.67 – $2,402.43
Swedish Medical Center Cherry Hill Seattle $6,972.71 $337.67 – $2,089.07
Swedish Issaquah Issaquah $6,972.71 $337.67 – $2,882.91
Central Medical Center Seattle $1,016.99 $302.92 – $302.92
Swedish Edmonds Hospital Edmonds $1,074.33 $337.67 – $2,245.75

All Washington hospitals for this procedure →