99381 initial comp preventive med less than 1 year new at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
not published by hospital
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.
not published by hospital
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.
$3.22 with first choice vs $871.65 with confluence health — 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 |
|---|---|---|---|
| first choice | commercial | $3.22 | — |
| united healthcare | commercial | $75.69 | — |
| humana | medicare advantage | $76.10 | — |
| kaiser foundation | hp medicare | $76.10 | — |
| united healthcare | medicare advantage | $76.10 | — |
| optum care network | medicare advantage | $76.10 | — |
| humana | choicecare medicare advantage | $76.10 | — |
| signal health | medicare advantage | $78.19 | — |
| multiplan | medicare advantage | $78.19 | — |
| premera | medicare advantage hmo/ppo | $78.19 | — |
| regence | medicare advantage | $81.67 | — |
| regence | uniform medical plan | $136.34 | — |
| premera | commercial | $161.34 | — |
| cigna | commercial | $186.64 | — |
| coventry - first health | commercial | $249.56 | — |
| regence | commercial | $268.09 | — |
| aetna | medicare advantage ppo | $331.60 | — |
| kaiser health plan | commercial | $361.82 | — |
| aetna | medicare advantage | $508.68 | — |
| aetna | medicare advantage hmo | $786.48 | — |
| confluence health | medicare advantage | $871.65 | — |
Visitor-reported prices
Comments
99381 initial comp preventive med less than 1 year new at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Regional Medical Center Everett - Colby Campus | Everett | $94.12 | not published |
| St. Michael Medical Center | Silverdale | $220.00 | $136.06 – $448.62 |
| St. Anne Hospital | Burien | $152.21 | $136.06 – $448.62 |
| St. Anthony Hospital | Gig Harbor | $151.61 | $136.06 – $373.85 |
| St. Joseph Medical Center | Tacoma | $165.09 | $136.06 – $373.85 |
| St. Elizabeth Hospital | Enumclaw | $176.14 | $84.74 – $448.62 |
| St. Francis Hospital | Federal Way | $156.43 | $136.06 – $373.85 |
| St. Clare Hospital | Lakewood | $143.68 | $136.06 – $373.85 |