App high cost ss t/a/l <100sq cm addl <25sq cm at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$315.18
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.
$618.00
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.
$0.74 with first choice vs $2,353.45 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 | $0.74 | ↓ -100% |
| aetna | medicare advantage hmo | $10.13 | ↓ -97% |
| united healthcare | commercial | $16.83 | ↓ -95% |
| optum care network | medicare advantage | $17.37 | ↓ -94% |
| humana | medicare advantage | $17.37 | ↓ -94% |
| kaiser foundation | hp medicare | $17.37 | ↓ -94% |
| humana | choicecare medicare advantage | $17.37 | ↓ -94% |
| united healthcare | medicare advantage | $17.37 | ↓ -94% |
| signal health | medicare advantage | $17.75 | ↓ -94% |
| multiplan | medicare advantage | $17.75 | ↓ -94% |
| premera | medicare advantage hmo/ppo | $17.75 | ↓ -94% |
| regence | medicare advantage | $18.16 | ↓ -94% |
| regence | uniform medical plan | $30.64 | ↓ -90% |
| premera | commercial | $36.26 | ↓ -88% |
| cigna | commercial | $55.57 | ↓ -82% |
| regence | commercial | $59.76 | ↓ -81% |
| kaiser health plan | commercial | $85.36 | ↓ -73% |
| aetna | medicare advantage | $155.77 | ↓ -51% |
| aetna | commercial | $389.34 | ↑ +24% |
| cigna | local plus | $456.33 | ↑ +45% |
| coventry - first health | commercial | $494.40 | ↑ +57% |
| confluence health | medicare advantage | $1,055.03 | ↑ +235% |
| aetna | medicare advantage ppo | $2,353.45 | ↑ +647% |
Visitor-reported prices
Comments
App high cost ss t/a/l <100sq cm addl <25sq cm at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $1,154.40 | not published |
| Swedish Medical Center Cherry Hill | Seattle | $1,154.40 | not published |
| Swedish Issaquah | Issaquah | $1,154.40 | $9,339.00 – $9,339.00 |
| Kadlec Regional Medical Center | Richland | $273.70 | $29.83 – $29.83 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $221.00 | $1,985.00 – $1,985.00 |
| MultiCare Valley Hospital | Spokane Valley | $215.20 | $1,328.41 – $1,406.55 |
| MultiCare Yakima Memorial Hospital | Yakima | $351.20 | not published |
| St. Michael Medical Center | Silverdale | $852.98 | $1,217.57 – $1,739.39 |