Alys cplx sp/pn npgt w/prgrm 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

$217.26

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.

Full explanation →

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

$426.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1.65 with first choice vs $1,084.02 with confluence health — same scan, same building. Share

Negotiated rates by payer
?

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 $1.65 ↓ -99%
humana choicecare medicare advantage $41.15 ↓ -81%
humana medicare advantage $41.15 ↓ -81%
united healthcare medicare advantage $41.15 ↓ -81%
kaiser foundation hp medicare $41.15 ↓ -81%
optum care network medicare advantage $41.15 ↓ -81%
united healthcare commercial $41.24 ↓ -81%
signal health medicare advantage $42.64 ↓ -80%
multiplan medicare advantage $42.64 ↓ -80%
premera medicare advantage hmo/ppo $42.64 ↓ -80%
regence medicare advantage $44.49 ↓ -80%
regence uniform medical plan $75.05 ↓ -65%
premera commercial $88.81 ↓ -59%
aetna medicare advantage ppo $102.99 ↓ -53%
aetna medicare advantage hmo $104.98 ↓ -52%
cigna commercial $136.16 ↓ -37%
regence commercial $139.44 ↓ -36%
kaiser health plan commercial $198.89 ↓ -8%
aetna commercial $268.38 ↑ +24%
coventry - first health commercial $277.62 ↑ +28%
cigna local plus $314.56 ↑ +45%
aetna medicare advantage $484.35 ↑ +123%
confluence health medicare advantage $1,084.02 ↑ +399%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Alys cplx sp/pn npgt w/prgrm at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $396.48 $110.09 – $533.12
Swedish Medical Center Cherry Hill Seattle $396.48 $110.09 – $516.11
Swedish Issaquah Issaquah $396.48 $110.40 – $533.12
MultiCare Valley Hospital Spokane Valley $306.40 $99.40 – $444.15
MultiCare Yakima Memorial Hospital Yakima $138.40 $113.42 – $301.28
MultiCare Auburn Medical Center Auburn $336.40 $101.68 – $462.12
MultiCare Good Samaritan Hospital Puyallup $336.40 $104.03 – $462.12
MultiCare Capital Medical Center Olympia $155.60 $107.89 – $491.86

All Washington hospitals for this procedure →