_fragile x methylation-sendout 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

$180.51

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.

$545.00

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.

$44.89 with SoundPath vs $350.01 with MultiPlan — 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 $44.89 ↓ -75%
BCBS - Regence Medicare|All Plans $44.89 ↓ -75%
Kaiser Medicare|All Plans $44.89 ↓ -75%
Optum Medicare|All Plans $45.34 ↓ -75%
Aetna Medicare|All Plans $46.24 ↓ -74%
BCBS - Premera Medicare|All Plans $46.24 ↓ -74%
BCBS - Regence Commercial|All Plans $47.13 ↓ -74%
BCBS - Premera Commercial|LifeWise Primary Exchange $47.72 ↓ -74%
Humana Medicare|All Plans $48.03 ↓ -73%
Molina Medicare|All Plans $48.48 ↓ -73%
United Medicare|All Plans $48.48 ↓ -73%
Amerigroup Medicare|All Plans $48.93 ↓ -73%
CHPW Medicare|All Plans $51.62 ↓ -71%
Seattle Medical Group Medicare|All Plans $51.62 ↓ -71%
United Commercial|Navigate $53.87 ↓ -70%
United Commercial|Cascade Care $53.87 ↓ -70%
United Commercial|All Other Plans $53.87 ↓ -70%
Cigna Commercial|All Plans $65.95 ↓ -63%
Uniform Medical Plan Commercial|All Plans $67.34 ↓ -63%
BCBS - Premera Commercial|All Other Plans $67.34 ↓ -63%
Molina Commercial|Marketplace Exchange $86.19 ↓ -52%
Coordinated Care Commercial|Ambetter Exchange $88.88 ↓ -51%
Sound Family Medicine Commercial|All Plans $89.78 ↓ -50%
Kaiser Commercial|HMO $122.14 ↓ -32%
Kaiser Commercial|PPO $134.36 ↓ -26%
Aetna Commercial|AWH $167.89 ↓ -7%
Aetna Commercial|All Other Plans $197.52 ↑ +9%
First Choice Commercial|All Plans $280.01 ↑ +55%
Aetna Commercial|Rental $336.01 ↑ +86%
MultiPlan Commercial|All Plans $350.01 ↑ +94%

Visitor-reported prices

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_fragile x methylation-sendout at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Mary Bridge Children's Hospital Tacoma $31.60 $30.61 – $108.67
MultiCare Allenmore Hospital Tacoma $31.60 $30.76 – $87.98
Swedish Medical Center - First Hill Campus Seattle $124.32 $40.40 – $136.38
Swedish Medical Center Cherry Hill Seattle $124.32 $40.40 – $134.67
Swedish Issaquah Issaquah $124.32 $40.40 – $99.66
St. Michael Medical Center Silverdale $240.54 $44.89 – $420.02
St. Anne Hospital Burien $166.42 $44.89 – $420.02
St. Anthony Hospital Gig Harbor $165.77 $44.89 – $350.01

All Washington hospitals for this procedure →