Appl hip spica cast 1 leg 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

$435.54

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.

$854.00

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.

$7.17 with first choice vs $630.59 with cigna — 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 $7.17 ↓ -98%
aetna medicare advantage ppo $18.86 ↓ -96%
aetna medicare advantage $21.81 ↓ -95%
aetna medicare advantage hmo $46.65 ↓ -89%
united healthcare commercial $168.05 ↓ -61%
optum care network medicare advantage $175.18 ↓ -60%
kaiser foundation hp medicare $175.18 ↓ -60%
humana choicecare medicare advantage $175.18 ↓ -60%
united healthcare medicare advantage $175.18 ↓ -60%
humana medicare advantage $175.18 ↓ -60%
confluence health medicare advantage $175.60 ↓ -60%
multiplan medicare advantage $177.15 ↓ -59%
premera medicare advantage hmo/ppo $177.15 ↓ -59%
signal health medicare advantage $177.15 ↓ -59%
regence medicare advantage $181.32 ↓ -58%
regence uniform medical plan $295.19 ↓ -32%
premera commercial $349.33 ↓ -20%
kaiser health plan commercial $514.96 ↑ +18%
aetna commercial $538.02 ↑ +24%
cigna commercial $554.89 ↑ +27%
coventry - first health commercial $581.95 ↑ +34%
regence commercial $597.80 ↑ +37%
cigna local plus $630.59 ↑ +45%

Visitor-reported prices

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Appl hip spica cast 1 leg at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $323.88 – $1,080.15
Swedish Medical Center Cherry Hill Seattle not published $323.88 – $1,045.68
Central Medical Center Seattle not published not published
Providence St Joseph Hospital Chewelah $228.90 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $489.30 $311.67 – $793.21
Providence Centralia Hospital Centralia $554.32 $323.88 – $1,344.45
Providence Mount Carmel Hospital Colville $274.40 not published
Providence St Mary Medical Center Walla Walla $387.10 $237.97 – $1,043.38

All Washington hospitals for this procedure →