Above elbow prosth tiss shap at Virginia Mason Medical Center

1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

not published by hospital

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.

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What you pay up front if you don't use insurance.

not published by hospital

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.

$2,986.50 with multiplan vs $15,134.56 with cigna — 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
multiplan medicare advantage $2,986.50
regence medicare advantage $3,626.47
regence uniform medical plan $4,166.44
regence commercial $4,166.44
kaiser foundation hp medicare $4,266.43
united healthcare medicare advantage $4,266.43
humana medicare advantage $4,266.43
optum care network medicare advantage $4,266.43
premera medicare advantage hmo/ppo $4,266.43
aetna medicare advantage ppo $4,394.42
aetna medicare advantage hmo $4,479.75
united healthcare commercial $5,119.72
premera commercial $11,082.73
kaiser health plan commercial $12,028.27
cigna commercial $13,335.58
cigna local plus $15,134.56

Visitor-reported prices

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Above elbow prosth tiss shap at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $4,351.76 – $13,220.65
Swedish Medical Center Cherry Hill Seattle not published $4,351.76 – $10,642.41
Providence St Luke's Rehabilitation Medical Center Spokane not published $4,351.76 – $4,786.94
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $4,351.76 – $11,075.23
Swedish Issaquah Issaquah not published $4,351.76 – $9,660.91
Providence Centralia Hospital Centralia not published $4,351.76 – $8,230.13
Swedish Edmonds Hospital Edmonds not published $4,351.76 – $14,189.88
Kadlec Regional Medical Center Richland not published $4,351.76 – $8,050.76

All Washington hospitals for this procedure →