App high cost ss t/a/l >100sq cm addl 100sq cm at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$372.30
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.
$730.00
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.
$2.44 with first choice vs $4,498.38 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 →
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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 | $2.44 | ↓ -99% |
| humana | choicecare medicare advantage | $45.22 | ↓ -88% |
| humana | medicare advantage | $45.22 | ↓ -88% |
| united healthcare | medicare advantage | $45.22 | ↓ -88% |
| kaiser foundation | hp medicare | $45.22 | ↓ -88% |
| optum care network | medicare advantage | $45.22 | ↓ -88% |
| united healthcare | commercial | $45.30 | ↓ -88% |
| signal health | medicare advantage | $46.82 | ↓ -87% |
| multiplan | medicare advantage | $46.82 | ↓ -87% |
| premera | medicare advantage hmo/ppo | $46.82 | ↓ -87% |
| regence | medicare advantage | $48.87 | ↓ -87% |
| aetna | medicare advantage hmo | $55.89 | ↓ -85% |
| regence | uniform medical plan | $83.18 | ↓ -78% |
| premera | commercial | $98.43 | ↓ -74% |
| cigna | commercial | $149.57 | ↓ -60% |
| regence | commercial | $205.84 | ↓ -45% |
| kaiser health plan | commercial | $220.38 | ↓ -41% |
| aetna | commercial | $459.90 | ↑ +24% |
| cigna | local plus | $539.03 | ↑ +45% |
| coventry - first health | commercial | $584.00 | ↑ +57% |
| aetna | medicare advantage | $669.72 | ↑ +80% |
| confluence health | medicare advantage | $906.25 | ↑ +143% |
| aetna | medicare advantage ppo | $4,498.38 | ↑ +1108% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm addl 100sq cm at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $2,348.64 | not published |
| Swedish Medical Center Cherry Hill | Seattle | $2,348.64 | not published |
| Providence St Joseph Hospital | Chewelah | $1,121.40 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,025.50 | $13,212.00 – $13,212.00 |
| Swedish Issaquah | Issaquah | $2,348.64 | $9,339.00 – $9,339.00 |
| Providence Mount Carmel Hospital | Colville | $1,347.50 | not published |
| Providence St Mary Medical Center | Walla Walla | $1,242.50 | $6,522.00 – $6,522.00 |
| Kadlec Regional Medical Center | Richland | $1,493.10 | $76.88 – $76.88 |