Drainage of mouth lesion at St. Joseph Medical Center
1717 South J Street, Tacoma, WA · Vmfh · · NPI 1952309098
$1,431.87
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.
$4,323.30
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.
$3,112.78 with Aetna vs $16,173.65 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 →
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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 |
|---|---|---|---|
| Aetna | Commercial|Rental | $3,112.78 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $3,242.48 | ↑ +126% |
| Seattle Medical Group | Medicare|All Plans | $3,565.66 | ↑ +149% |
| Kaiser | Medicare|All Plans | $3,675.83 | ↑ +157% |
| SoundPath | Medicare|All Plans | $3,675.83 | ↑ +157% |
| Optum | Medicare|All Plans | $3,712.59 | ↑ +159% |
| BCBS - Premera | Medicare|All Plans | $3,786.10 | ↑ +164% |
| Aetna | Medicare|All Plans | $3,786.10 | ↑ +164% |
| BCBS - Regence | Medicare|All Plans | $3,786.10 | ↑ +164% |
| Humana | Medicare|All Plans | $3,933.14 | ↑ +175% |
| Molina | Medicare|All Plans | $3,969.90 | ↑ +177% |
| United | Medicare|All Plans | $3,969.90 | ↑ +177% |
| Amerigroup | Medicare|All Plans | $4,006.65 | ↑ +180% |
| CHPW | Medicare|All Plans | $4,227.20 | ↑ +195% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +218% |
| First Choice | Commercial|All Plans | $6,410.77 | ↑ +348% |
| Molina | Commercial|Marketplace Exchange | $7,057.59 | ↑ +393% |
| Coordinated Care | Commercial|Ambetter Exchange | $7,278.14 | ↑ +408% |
| Sound Family Medicine | Commercial|All Plans | $7,351.66 | ↑ +413% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $7,452.98 | ↑ +421% |
| Kaiser | Commercial|HMO | $7,741.04 | ↑ +441% |
| Uniform Medical Plan | Commercial|All Plans | $7,957.10 | ↑ +456% |
| Kaiser | Commercial|PPO | $8,515.74 | ↑ +495% |
| BCBS - Regence | Commercial|All Plans | $9,124.02 | ↑ +537% |
| BCBS - Premera | Commercial|All Other Plans | $10,774.00 | ↑ +652% |
| United | Commercial|Navigate | $11,599.09 | ↑ +710% |
| United | Commercial|Cascade Care | $12,209.74 | ↑ +753% |
| United | Commercial|All Other Plans | $12,209.74 | ↑ +753% |
| Aetna | Commercial|AWH | $13,747.60 | ↑ +860% |
| Aetna | Commercial|All Other Plans | $16,173.65 | ↑ +1030% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MultiCare Mary Bridge Children's Hospital | Tacoma | not published | $649.17 – $22,376.16 |
| MultiCare Allenmore Hospital | Tacoma | not published | $652.42 – $15,914.98 |
| Providence St Joseph Hospital | Chewelah | $4,256.70 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $7,764.48 | $3,839.27 – $12,755.94 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $6,736.10 | $3,694.56 – $9,402.66 |
| Swedish Medical Center Cherry Hill | Seattle | $7,764.48 | $3,839.27 – $12,284.47 |
| Swedish Issaquah | Issaquah | $7,764.48 | $3,850.04 – $12,755.94 |
| Providence Centralia Hospital | Centralia | $6,572.28 | $3,839.27 – $15,322.85 |