Apl(pml-rara) quant - sendout at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$645.66
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.
?
What you pay up front if you don't use insurance.
$1,266.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$145.12 with multiplan vs $1,012.80 with coventry - first 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 →
?
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 |
|---|---|---|---|
| multiplan | medicare advantage | $145.12 | ↓ -78% |
| regence | medicare advantage | $176.21 | ↓ -73% |
| humana | medicare advantage | $207.31 | ↓ -68% |
| united healthcare | medicare advantage | $207.31 | ↓ -68% |
| kaiser foundation | hp medicare | $207.31 | ↓ -68% |
| optum care network | medicare advantage | $207.31 | ↓ -68% |
| premera | medicare advantage hmo/ppo | $207.31 | ↓ -68% |
| regence | commercial | $207.31 | ↓ -68% |
| regence | uniform medical plan | $207.31 | ↓ -68% |
| aetna | medicare advantage ppo | $213.53 | ↓ -67% |
| aetna | medicare advantage hmo | $217.68 | ↓ -66% |
| united healthcare | commercial | $248.77 | ↓ -61% |
| kaiser health plan | commercial | $331.70 | ↓ -49% |
| premera | commercial | $362.79 | ↓ -44% |
| cigna | commercial | $647.99 | ↑ +0% |
| cigna | local plus | $735.40 | ↑ +14% |
| aetna | commercial | $797.58 | ↑ +24% |
| first choice | commercial | $810.87 | ↑ +26% |
| coventry - first health | commercial | $1,012.80 | ↑ +57% |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $780.96 | $186.58 – $629.81 |
| Swedish Medical Center Cherry Hill | Seattle | $780.96 | $186.58 – $621.93 |
| Central Medical Center | Seattle | $644.80 | $128.00 – $128.00 |
| Swedish Issaquah | Issaquah | $780.96 | $186.58 – $460.23 |
| Providence Centralia Hospital | Centralia | $394.16 | $207.31 – $606.38 |
| Swedish Edmonds Hospital | Edmonds | $780.96 | $207.31 – $829.24 |
| Providence St Mary Medical Center | Walla Walla | $430.50 | $207.31 – $383.52 |
| Kadlec Regional Medical Center | Richland | $649.60 | $207.31 – $383.52 |