Av fusion direct any site 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

$9,928.68

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.

$19,468.00

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.

$6.53 with aetna vs $12,264.84 with aetna — 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 $6.53 ↓ -100%
first choice commercial $19.35 ↓ -100%
confluence health medicare advantage $107.45 ↓ -99%
aetna medicare advantage $241.90 ↓ -98%
united healthcare commercial $654.80 ↓ -93%
humana medicare advantage $663.41 ↓ -93%
humana choicecare medicare advantage $663.41 ↓ -93%
united healthcare medicare advantage $663.41 ↓ -93%
kaiser foundation hp medicare $663.41 ↓ -93%
optum care network medicare advantage $663.41 ↓ -93%
multiplan medicare advantage $681.53 ↓ -93%
signal health medicare advantage $681.53 ↓ -93%
premera medicare advantage hmo/ppo $681.53 ↓ -93%
regence medicare advantage $706.49 ↓ -93%
regence uniform medical plan $1,210.77 ↓ -88%
premera commercial $1,432.83 ↓ -86%
regence commercial $1,606.88 ↓ -84%
aetna medicare advantage ppo $1,824.88 ↓ -82%
coventry - first health commercial $1,840.60 ↓ -81%
cigna commercial $2,162.10 ↓ -78%
kaiser health plan commercial $3,248.08 ↓ -67%
cigna local plus $11,612.25 ↑ +17%
aetna commercial $12,264.84 ↑ +24%

Visitor-reported prices

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Av fusion direct any site at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $6,325.60 not published
Swedish Medical Center - First Hill Campus Seattle not published $3,656.33 – $13,496.13
Swedish Medical Center Cherry Hill Seattle not published $3,656.33 – $12,997.30
MultiCare Auburn Medical Center Auburn $7,611.20 $2,447.85 – $15,156.63
MultiCare Good Samaritan Hospital Puyallup $7,611.20 $2,504.45 – $15,156.63
MultiCare Capital Medical Center Olympia $7,611.20 $2,634.28 – $16,335.97
MultiCare Covington Medical Center Covington $7,611.20 $2,447.85 – $15,156.63
MultiCare Mary Bridge Children's Hospital Tacoma $7,611.20 $2,492.96 – $23,429.60

All Washington hospitals for this procedure →