Assay of silica 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

$67.32

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.

$132.00

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.

$17.65 with multiplan vs $105.60 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 $17.65 ↓ -74%
regence medicare advantage $21.43 ↓ -68%
humana medicare advantage $25.21 ↓ -63%
united healthcare medicare advantage $25.21 ↓ -63%
kaiser foundation hp medicare $25.21 ↓ -63%
optum care network medicare advantage $25.21 ↓ -63%
premera medicare advantage hmo/ppo $25.21 ↓ -63%
regence commercial $25.21 ↓ -63%
regence uniform medical plan $25.21 ↓ -63%
aetna medicare advantage ppo $25.97 ↓ -61%
aetna medicare advantage hmo $26.47 ↓ -61%
united healthcare commercial $30.25 ↓ -55%
kaiser health plan commercial $40.34 ↓ -40%
premera commercial $44.12 ↓ -34%
cigna commercial $78.80 ↑ +17%
aetna commercial $83.16 ↑ +24%
first choice commercial $84.55 ↑ +26%
cigna local plus $89.43 ↑ +33%
coventry - first health commercial $105.60 ↑ +57%

Visitor-reported prices

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Assay of silica at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $113.60 $20.00 – $20.00
Swedish Medical Center - First Hill Campus Seattle not published $22.69 – $118.49
Swedish Medical Center Cherry Hill Seattle not published $22.69 – $114.71
Providence St Luke's Rehabilitation Medical Center Spokane not published $25.21 – $27.73
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $25.21 – $90.76
Swedish Issaquah Issaquah not published $22.69 – $118.49
Providence Centralia Hospital Centralia not published $25.21 – $157.06
Swedish Edmonds Hospital Edmonds not published $25.21 – $113.45

All Washington hospitals for this procedure →