Arthrd wrist w/sliding graft 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

$9,266.70

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.

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What you pay up front if you don't use insurance.

$18,170.00

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.

$20.54 with aetna vs $13,416.73 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
aetna medicare advantage hmo $20.54 ↓ -100%
first choice commercial $25.05 ↓ -100%
aetna medicare advantage ppo $89.94 ↓ -99%
aetna medicare advantage $315.87 ↓ -97%
confluence health medicare advantage $573.46 ↓ -94%
united healthcare commercial $903.47 ↓ -90%
humana medicare advantage $928.92 ↓ -90%
humana choicecare medicare advantage $928.92 ↓ -90%
united healthcare medicare advantage $928.92 ↓ -90%
kaiser foundation hp medicare $928.92 ↓ -90%
optum care network medicare advantage $928.92 ↓ -90%
signal health medicare advantage $947.17 ↓ -90%
multiplan medicare advantage $947.17 ↓ -90%
premera medicare advantage hmo/ppo $947.17 ↓ -90%
regence medicare advantage $974.79 ↓ -89%
regence uniform medical plan $1,597.27 ↓ -83%
premera commercial $1,890.22 ↓ -80%
regence commercial $2,119.82 ↓ -77%
coventry - first health commercial $2,154.22 ↓ -77%
cigna commercial $2,983.19 ↓ -68%
kaiser health plan commercial $3,709.15 ↓ -60%
aetna commercial $11,447.10 ↑ +24%
cigna local plus $13,416.73 ↑ +45%

Visitor-reported prices

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Arthrd wrist w/sliding graft at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $7,277.00 – $29,132.10
Swedish Medical Center Cherry Hill Seattle not published $7,277.00 – $28,055.35
Central Medical Center Seattle not published not published
Providence St Luke's Rehabilitation Medical Center Spokane not published $8,085.92 – $8,894.51
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $8,085.92 – $20,578.67
Swedish Issaquah Issaquah not published $7,277.00 – $29,132.10
Providence Centralia Hospital Centralia not published $8,402.62 – $34,994.41
Swedish Edmonds Hospital Edmonds not published $3,304.00 – $28,952.64

All Washington hospitals for this procedure →