Amino acid screen, urine 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

$40.29

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.

Full explanation →

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

$79.00

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.

$9.71 with multiplan vs $63.20 with coventry - first 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 →

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 $9.71 ↓ -76%
regence medicare advantage $11.79 ↓ -71%
humana medicare advantage $13.87 ↓ -66%
united healthcare medicare advantage $13.87 ↓ -66%
kaiser foundation hp medicare $13.87 ↓ -66%
optum care network medicare advantage $13.87 ↓ -66%
premera medicare advantage hmo/ppo $13.87 ↓ -66%
regence commercial $13.87 ↓ -66%
regence uniform medical plan $13.87 ↓ -66%
aetna medicare advantage ppo $14.29 ↓ -65%
aetna medicare advantage hmo $14.56 ↓ -64%
united healthcare commercial $16.64 ↓ -59%
kaiser health plan commercial $22.19 ↓ -45%
premera commercial $24.27 ↓ -40%
cigna commercial $43.35 ↑ +8%
cigna local plus $49.20 ↑ +22%
aetna commercial $49.77 ↑ +24%
first choice commercial $50.60 ↑ +26%
coventry - first health commercial $63.20 ↑ +57%

Visitor-reported prices

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Amino acid screen, urine at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $62.40 $10.00 – $10.00
Swedish Medical Center - First Hill Campus Seattle not published $12.48 – $65.19
Swedish Medical Center Cherry Hill Seattle not published $12.48 – $63.11
Providence Holy Family Hospital Spokane $166.60 $13.87 – $59.20
MultiCare Yakima Memorial Hospital Yakima $32.40 $14.36 – $24.89
MultiCare Auburn Medical Center Auburn $34.40 $8.43 – $27.19
MultiCare Good Samaritan Hospital Puyallup $34.40 $8.63 – $27.19
MultiCare Capital Medical Center Olympia $63.20 $9.08 – $25.15

All Washington hospitals for this procedure →