Assay of estrogen 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

$184.11

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.

$361.00

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.

$61.52 with multiplan vs $288.80 with coventry - first 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
multiplan medicare advantage $61.52 ↓ -67%
regence medicare advantage $74.70 ↓ -59%
humana medicare advantage $87.88 ↓ -52%
united healthcare medicare advantage $87.88 ↓ -52%
kaiser foundation hp medicare $87.88 ↓ -52%
optum care network medicare advantage $87.88 ↓ -52%
premera medicare advantage hmo/ppo $87.88 ↓ -52%
regence commercial $87.88 ↓ -52%
regence uniform medical plan $87.88 ↓ -52%
aetna medicare advantage ppo $90.52 ↓ -51%
aetna medicare advantage hmo $92.27 ↓ -50%
united healthcare commercial $105.46 ↓ -43%
kaiser health plan commercial $140.61 ↓ -24%
premera commercial $153.79 ↓ -16%
aetna commercial $227.43 ↑ +24%
first choice commercial $231.22 ↑ +26%
cigna commercial $266.56 ↑ +45%
cigna local plus $266.56 ↑ +45%
coventry - first health commercial $288.80 ↑ +57%

Visitor-reported prices

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Assay of estrogen at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $395.20 $66.00 – $66.00
Swedish Medical Center - First Hill Campus Seattle not published $79.09 – $413.04
Swedish Medical Center Cherry Hill Seattle not published $79.09 – $399.85
Providence Mount Carmel Hospital Colville $392.70 not published
MultiCare Capital Medical Center Olympia $611.60 $24.17 – $159.33
Providence St Luke's Rehabilitation Medical Center Spokane not published $87.88 – $96.67
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $87.88 – $316.37
Swedish Issaquah Issaquah not published $79.09 – $413.04

All Washington hospitals for this procedure →