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
$5,378.97
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.
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What you pay up front if you don't use insurance.
$10,547.00
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.
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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 →
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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 ?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 | $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
Comments
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 |