Warde topiramate therapeutic drug level 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

$90.83

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.

$274.23

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.

$11.92 with Kaiser vs $205.68 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
Kaiser Medicare|All Plans $11.92 ↓ -87%
SoundPath Medicare|All Plans $11.92 ↓ -87%
BCBS - Regence Medicare|All Plans $11.92 ↓ -87%
Optum Medicare|All Plans $12.04 ↓ -87%
BCBS - Premera Medicare|All Plans $12.28 ↓ -86%
Aetna Medicare|All Plans $12.28 ↓ -86%
BCBS - Regence Commercial|All Plans $12.52 ↓ -86%
BCBS - Premera Commercial|LifeWise Primary Exchange $12.67 ↓ -86%
Humana Medicare|All Plans $12.75 ↓ -86%
Molina Medicare|All Plans $12.87 ↓ -86%
United Medicare|All Plans $12.87 ↓ -86%
Amerigroup Medicare|All Plans $12.99 ↓ -86%
CHPW Medicare|All Plans $13.71 ↓ -85%
Seattle Medical Group Medicare|All Plans $13.71 ↓ -85%
United Commercial|Cascade Care $14.30 ↓ -84%
United Commercial|All Other Plans $14.30 ↓ -84%
United Commercial|Navigate $14.30 ↓ -84%
Uniform Medical Plan Commercial|All Plans $17.88 ↓ -80%
BCBS - Premera Commercial|All Other Plans $17.88 ↓ -80%
Cigna Commercial|All Plans $21.63 ↓ -76%
Molina Commercial|Marketplace Exchange $22.89 ↓ -75%
Coordinated Care Commercial|Ambetter Exchange $23.60 ↓ -74%
Sound Family Medicine Commercial|All Plans $23.84 ↓ -74%
Aetna Commercial|AWH $44.58 ↓ -51%
Aetna Commercial|All Other Plans $52.45 ↓ -42%
First Choice Commercial|All Plans $72.46 ↓ -20%
Aetna Commercial|WEA $88.38 ↓ -3%
Aetna Commercial|Rental $197.45 ↑ +117%
MultiPlan Commercial|All Plans $205.68 ↑ +126%

Visitor-reported prices

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Warde topiramate therapeutic drug level at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Mary Bridge Children's Hospital Tacoma $31.20 $7.41 – $26.32
MultiCare Allenmore Hospital Tacoma $31.20 $7.45 – $23.36
Providence St Joseph Hospital Chewelah $140.70 not published
Swedish Medical Center - First Hill Campus Seattle $65.28 $10.73 – $56.02
Providence Sacred Heart Medical Center and Children's Hospital Spokane $240.80 $11.92 – $42.91
Swedish Medical Center Cherry Hill Seattle $65.28 $10.73 – $54.24
Swedish Issaquah Issaquah $65.28 $10.73 – $56.02
Central Medical Center Seattle $53.60 $9.00 – $9.00

All Washington hospitals for this procedure →