Aco cont gluc mnt phys/qhp eqp 95250aco at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$308.55
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.
$605.00
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.
$4.51 with first choice vs $1,212.05 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 |
|---|---|---|---|
| first choice | commercial | $4.51 | ↓ -99% |
| multiplan | medicare advantage | $98.26 | ↓ -68% |
| regence | medicare advantage | $119.32 | ↓ -61% |
| kaiser foundation | hp medicare | $140.37 | ↓ -55% |
| humana | medicare advantage | $140.37 | ↓ -55% |
| premera | medicare advantage hmo/ppo | $140.37 | ↓ -55% |
| optum care network | medicare advantage | $140.37 | ↓ -55% |
| united healthcare | medicare advantage | $140.37 | ↓ -55% |
| aetna | medicare advantage ppo | $144.58 | ↓ -53% |
| aetna | medicare advantage hmo | $147.39 | ↓ -52% |
| confluence health | medicare advantage | $150.71 | ↓ -51% |
| united healthcare | commercial | $168.94 | ↓ -45% |
| humana | choicecare medicare advantage | $169.61 | ↓ -45% |
| signal health | medicare advantage | $179.42 | ↓ -42% |
| regence | uniform medical plan | $271.42 | ↓ -12% |
| premera | commercial | $321.20 | ↑ +4% |
| kaiser health plan | commercial | $357.99 | ↑ +16% |
| regence | commercial | $360.22 | ↑ +17% |
| coventry - first health | commercial | $372.77 | ↑ +21% |
| aetna | commercial | $381.15 | ↑ +24% |
| cigna | commercial | $418.38 | ↑ +36% |
| cigna | local plus | $446.73 | ↑ +45% |
| aetna | medicare advantage | $1,212.05 | ↑ +293% |
Visitor-reported prices
Comments
Aco cont gluc mnt phys/qhp eqp 95250aco at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $96.00 | $154.17 – $544.87 |
| Swedish Medical Center Cherry Hill | Seattle | $96.00 | $154.17 – $486.91 |
| Swedish Issaquah | Issaquah | $96.00 | $154.60 – $544.87 |
| Swedish Edmonds Hospital | Edmonds | $96.00 | $151.62 – $475.31 |
| Providence St Mary Medical Center | Walla Walla | $809.90 | $117.13 – $274.47 |
| Kadlec Regional Medical Center | Richland | $554.40 | $148.36 – $453.29 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $104.00 | $151.62 – $486.91 |
| MultiCare Yakima Memorial Hospital | Yakima | $173.60 | $158.83 – $411.43 |