Application clubfoot cast 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

$319.26

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.

$626.00

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.

$4.17 with first choice vs $462.24 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 $4.17 ↓ -99%
aetna medicare advantage $32.84 ↓ -90%
aetna medicare advantage ppo $39.45 ↓ -88%
confluence health medicare advantage $74.77 ↓ -77%
aetna medicare advantage hmo $82.25 ↓ -74%
united healthcare commercial $116.32 ↓ -64%
humana medicare advantage $118.19 ↓ -63%
humana choicecare medicare advantage $118.19 ↓ -63%
united healthcare medicare advantage $118.19 ↓ -63%
kaiser foundation hp medicare $118.19 ↓ -63%
optum care network medicare advantage $118.19 ↓ -63%
multiplan medicare advantage $120.32 ↓ -62%
signal health medicare advantage $121.79 ↓ -62%
premera medicare advantage hmo/ppo $121.79 ↓ -62%
regence medicare advantage $125.50 ↓ -61%
regence uniform medical plan $209.51 ↓ -34%
premera commercial $247.93 ↓ -22%
regence commercial $360.22 ↑ +13%
coventry - first health commercial $372.25 ↑ +17%
kaiser health plan commercial $377.48 ↑ +18%
cigna commercial $384.07 ↑ +20%
aetna commercial $394.38 ↑ +24%
cigna local plus $462.24 ↑ +45%

Visitor-reported prices

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Application clubfoot cast at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $188.17 – $628.58
Swedish Medical Center Cherry Hill Seattle not published $188.17 – $608.52
Central Medical Center Seattle not published not published
Providence St Joseph Hospital Chewelah $217.70 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $345.10 $181.08 – $460.85
Providence Centralia Hospital Centralia $336.44 $188.17 – $782.38
Providence Mount Carmel Hospital Colville $254.80 not published
Providence St Mary Medical Center Walla Walla $314.30 $139.62 – $607.18

All Washington hospitals for this procedure →