App topical fluoride varnish 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

not published by hospital

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.

not published by hospital

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.

$0.36 with first choice vs $786.16 with confluence 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 $0.36
united healthcare commercial $10.11
humana medicare advantage $10.18
humana choicecare medicare advantage $10.18
united healthcare medicare advantage $10.18
kaiser foundation hp medicare $10.18
optum care network medicare advantage $10.18
signal health medicare advantage $10.48
premera medicare advantage hmo/ppo $10.48
multiplan medicare advantage $10.48
regence medicare advantage $10.91
regence uniform medical plan $18.14
premera commercial $21.46
regence commercial $29.05
cigna commercial $33.38
kaiser health plan commercial $48.15
aetna medicare advantage ppo $494.12
aetna medicare advantage hmo $719.66
confluence health medicare advantage $786.16

Visitor-reported prices

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App topical fluoride varnish at other Washington hospitals

Hospital City Cash price Negotiated range
Kadlec Regional Medical Center Richland not published $17.21 – $17.21
MultiCare Valley Hospital Spokane Valley not published $20.97 – $20.97
MultiCare Yakima Memorial Hospital Yakima not published $15.15 – $15.73
MultiCare Auburn Medical Center Auburn not published $12.74 – $14.56
MultiCare Good Samaritan Hospital Puyallup not published not published
MultiCare Capital Medical Center Olympia not published $13.53 – $17.48
MultiCare Covington Medical Center Covington not published $12.74 – $14.56
MultiCare Mary Bridge Children's Hospital Tacoma not published $34.60 – $34.60

All Washington hospitals for this procedure →