App high cost ss t/a/l >100sq cm 1st 100sq cm 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

$5,378.97

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.

$10,547.00

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.

$9.36 with first choice vs $8,437.60 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
first choice commercial $9.36 ↓ -100%
aetna medicare advantage hmo $27.49 ↓ -99%
aetna medicare advantage $88.75 ↓ -98%
united healthcare commercial $199.18 ↓ -96%
humana medicare advantage $200.97 ↓ -96%
optum care network medicare advantage $200.97 ↓ -96%
kaiser foundation hp medicare $200.97 ↓ -96%
humana choicecare medicare advantage $200.97 ↓ -96%
united healthcare medicare advantage $200.97 ↓ -96%
signal health medicare advantage $207.10 ↓ -96%
multiplan medicare advantage $207.10 ↓ -96%
premera medicare advantage hmo/ppo $207.10 ↓ -96%
regence medicare advantage $214.91 ↓ -96%
regence uniform medical plan $362.73 ↓ -93%
premera commercial $429.26 ↓ -92%
cigna commercial $657.69 ↓ -88%
regence commercial $773.56 ↓ -86%
kaiser health plan commercial $962.66 ↓ -82%
confluence health medicare advantage $1,212.06 ↓ -77%
aetna medicare advantage ppo $3,888.17 ↓ -28%
aetna commercial $6,644.61 ↑ +24%
cigna local plus $7,787.90 ↑ +45%
coventry - first health commercial $8,437.60 ↑ +57%

Visitor-reported prices

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App high cost ss t/a/l >100sq cm 1st 100sq cm at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $8,669.76 $2,389.26 – $13,993.26
Swedish Medical Center Cherry Hill Seattle $8,669.76 $2,389.26 – $13,546.67
Central Medical Center Seattle not published not published
Swedish Issaquah Issaquah $8,669.76 $2,395.96 – $13,993.26
Kadlec Regional Medical Center Richland $3,448.90 $333.90 – $11,045.75
Providence Regional Medical Center Everett - Colby Campus Everett $4,610.32 $2,349.67 – $11,611.43
MultiCare Yakima Memorial Hospital Yakima $4,474.40 $2,461.46 – $11,166.01
St. Michael Medical Center Silverdale $4,075.31 $5,817.28 – $15,331.58

All Washington hospitals for this procedure →