Ortho wrst/hnd w/jnt cstm w/fit&adj at St. Joseph Medical Center
1717 South J Street, Tacoma, WA · Vmfh · · NPI 1952309098
$242.86
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.
$733.25
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.
$366.63 with Cigna vs $5,247.92 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $366.63 | ↑ +51% |
| Aetna | Commercial|Rental | $527.94 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $549.94 | ↑ +126% |
| BCBS - Premera | Commercial|All Other Plans | $733.25 | ↑ +202% |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $733.25 | ↑ +202% |
| Uniform Medical Plan | Commercial|All Plans | $1,036.51 | ↑ +327% |
| BCBS - Regence | Commercial|All Plans | $1,036.51 | ↑ +327% |
| Kaiser | Commercial|HMO | $2,748.76 | ↑ +1032% |
| Kaiser | Commercial|PPO | $3,023.85 | ↑ +1145% |
| First Choice | Commercial|All Plans | $3,500.47 | ↑ +1341% |
| Aetna | Commercial|WEA | $5,247.92 | ↑ +2061% |
Visitor-reported prices
Comments
Ortho wrst/hnd w/jnt cstm w/fit&adj at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MultiCare Mary Bridge Children's Hospital | Tacoma | not published | $932.86 – $7,945.54 |
| MultiCare Allenmore Hospital | Tacoma | not published | $906.95 – $4,677.41 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,265.60 | $1,082.62 – $2,755.27 |
| Providence Holy Family Hospital | Spokane | $1,291.50 | not published |
| St. Michael Medical Center | Silverdale | $323.62 | $461.95 – $4,761.26 |
| St. Anne Hospital | Burien | $223.91 | $315.30 – $3,386.24 |
| St. Anthony Hospital | Gig Harbor | $223.02 | $366.63 – $3,500.47 |
| St. Elizabeth Hospital | Enumclaw | $259.11 | $124.66 – $1,036.51 |