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

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$315.18

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.

$618.00

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.

$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 →

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 $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

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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

All Washington hospitals for this procedure →