Administration immunization intranasal/oral route each additional vaccine 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

$11.95

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.

$23.44

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.

$0.37 with first choice vs $3,159.42 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 →

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
first choice commercial $0.37 ↓ -97%
united healthcare commercial $12.72 ↑ +6%
humana medicare advantage $13.23 ↑ +11%
united healthcare medicare advantage $13.23 ↑ +11%
kaiser foundation hp medicare $13.23 ↑ +11%
optum care network medicare advantage $13.23 ↑ +11%
humana choicecare medicare advantage $13.23 ↑ +11%
signal health medicare advantage $13.61 ↑ +14%
multiplan medicare advantage $13.61 ↑ +14%
premera medicare advantage hmo/ppo $13.61 ↑ +14%
regence medicare advantage $13.73 ↑ +15%
premera commercial $14.06 ↑ +18%
kaiser health plan commercial $14.13 ↑ +18%
aetna commercial $14.77 ↑ +24%
cigna commercial $15.11 ↑ +26%
regence commercial $16.41 ↑ +37%
regence uniform medical plan $16.41 ↑ +37%
cigna local plus $17.31 ↑ +45%
coventry - first health commercial $18.75 ↑ +57%
confluence health medicare advantage $48.26 ↑ +304%
aetna medicare advantage $210.01 ↑ +1657%
aetna medicare advantage ppo $781.04 ↑ +6436%
aetna medicare advantage hmo $3,159.42 ↑ +26339%

Visitor-reported prices

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Administration immunization intranasal/oral route each additional vaccine at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $30.24 not published
Swedish Medical Center Cherry Hill Seattle $30.24 not published
Swedish Issaquah Issaquah $30.24 $26.46 – $26.46
MultiCare Yakima Memorial Hospital Yakima $15.20 not published
St. Michael Medical Center Silverdale $33.78 $48.21 – $68.87
St. Anne Hospital Burien $23.37 $32.91 – $136.45
St. Anthony Hospital Gig Harbor $23.28 $55.10 – $128.52
MultiCare Auburn Medical Center Auburn $46.00 $26.68 – $28.81

All Washington hospitals for this procedure →