Arthro, loose body + chondro at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$1,110.78
Cash price 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.
?
What you pay up front if you don't use insurance.
$2,178.00
Gross charge 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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.51 with first choice vs $2,051.60 with aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 ?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 ?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 | $2.51 | ↓ -100% |
| cigna | commercial | $75.59 | ↓ -93% |
| united healthcare | commercial | $87.06 | ↓ -92% |
| optum care network | medicare advantage | $88.32 | ↓ -92% |
| united healthcare | medicare advantage | $88.32 | ↓ -92% |
| kaiser foundation | hp medicare | $88.32 | ↓ -92% |
| humana | choicecare medicare advantage | $88.32 | ↓ -92% |
| humana | medicare advantage | $88.32 | ↓ -92% |
| signal health | medicare advantage | $90.77 | ↓ -92% |
| multiplan | medicare advantage | $90.77 | ↓ -92% |
| premera | medicare advantage hmo/ppo | $90.77 | ↓ -92% |
| aetna | commercial | $91.21 | ↓ -92% |
| regence | medicare advantage | $93.93 | ↓ -92% |
| regence | uniform medical plan | $158.23 | ↓ -86% |
| premera | commercial | $187.25 | ↓ -83% |
| regence | commercial | $209.99 | ↓ -81% |
| coventry - first health | commercial | $227.77 | ↓ -79% |
| aetna | medicare advantage ppo | $307.82 | ↓ -72% |
| kaiser health plan | commercial | $410.69 | ↓ -63% |
| confluence health | medicare advantage | $856.54 | ↓ -23% |
| aetna | medicare advantage hmo | $1,492.89 | ↑ +34% |
| cigna | local plus | $1,608.24 | ↑ +45% |
| aetna | medicare advantage | $2,051.60 | ↑ +85% |
Visitor-reported prices
Comments
Arthro, loose body + chondro at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $282.72 – $282.72 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $33,603.00 – $33,603.00 |
| Providence Centralia Hospital | Centralia | not published | $10,122.47 – $10,122.47 |
| Kadlec Regional Medical Center | Richland | not published | $144.00 – $144.00 |
| Providence Holy Family Hospital | Spokane | not published | $11,241.00 – $11,241.00 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | not published | $13,908.00 – $13,908.00 |
| Providence St Peter Hospital | Olympia | not published | $27,982.24 – $27,982.24 |
| MultiCare Valley Hospital | Spokane Valley | not published | $1,516.42 – $1,605.62 |