Anogenital exam child w imag 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

$306.51

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.

$601.00

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.

$4.69 with first choice vs $496.62 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 $4.69 ↓ -98%
confluence health medicare advantage $52.58 ↓ -83%
united healthcare commercial $86.96 ↓ -72%
humana medicare advantage $87.49 ↓ -71%
humana choicecare medicare advantage $87.49 ↓ -71%
united healthcare medicare advantage $87.49 ↓ -71%
kaiser foundation hp medicare $87.49 ↓ -71%
optum care network medicare advantage $87.49 ↓ -71%
signal health medicare advantage $90.16 ↓ -71%
multiplan medicare advantage $90.16 ↓ -71%
premera medicare advantage hmo/ppo $90.16 ↓ -71%
regence medicare advantage $93.83 ↓ -69%
regence uniform medical plan $156.98 ↓ -49%
premera commercial $185.77 ↓ -39%
aetna medicare advantage ppo $225.71 ↓ -26%
aetna medicare advantage hmo $230.09 ↓ -25%
cigna commercial $287.15 ↓ -6%
kaiser health plan commercial $362.40 ↑ +18%
aetna commercial $378.63 ↑ +24%
coventry - first health commercial $387.98 ↑ +27%
regence commercial $401.72 ↑ +31%
cigna local plus $443.78 ↑ +45%
aetna medicare advantage $496.62 ↑ +62%

Visitor-reported prices

visitor-reported
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Anogenital exam child w imag at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $234.11 – $780.44
Swedish Medical Center Cherry Hill Seattle not published $234.11 – $755.53
Providence St Joseph Hospital Chewelah $310.80 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $348.60 $225.29 – $573.36
Providence Centralia Hospital Centralia $352.04 $234.11 – $971.39
Providence Mount Carmel Hospital Colville $311.50 not published
Providence St Mary Medical Center Walla Walla $436.10 $176.57 – $753.87
Kadlec Regional Medical Center Richland $384.30 $144.00 – $616.05

All Washington hospitals for this procedure →