Avul nail plate addl 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

$84.15

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.

Full explanation →

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

$165.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1.00 with first choice vs $2,666.08 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 →

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 $1.00 ↓ -99%
confluence health medicare advantage $6.78 ↓ -92%
humana medicare advantage $17.20 ↓ -80%
humana choicecare medicare advantage $17.20 ↓ -80%
united healthcare medicare advantage $17.20 ↓ -80%
kaiser foundation hp medicare $17.20 ↓ -80%
optum care network medicare advantage $17.20 ↓ -80%
united healthcare commercial $17.34 ↓ -79%
premera medicare advantage hmo/ppo $17.70 ↓ -79%
multiplan medicare advantage $17.70 ↓ -79%
signal health medicare advantage $17.70 ↓ -79%
regence medicare advantage $18.71 ↓ -78%
regence uniform medical plan $31.90 ↓ -62%
aetna medicare advantage hmo $35.61 ↓ -58%
premera commercial $37.75 ↓ -55%
cigna commercial $57.25 ↓ -32%
aetna medicare advantage ppo $61.03 ↓ -27%
regence commercial $83.00 ↓ -1%
kaiser health plan commercial $88.24 ↑ +5%
aetna commercial $103.95 ↑ +24%
coventry - first health commercial $111.55 ↑ +33%
cigna local plus $121.84 ↑ +45%
aetna medicare advantage $2,666.08 ↑ +3068%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Avul nail plate addl at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $279.84 not published
Swedish Medical Center Cherry Hill Seattle $279.84 not published
Providence St Joseph Hospital Chewelah $78.40 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $248.50 $13,212.00 – $13,212.00
Swedish Issaquah Issaquah $279.84 $9,339.00 – $9,339.00
Providence Mount Carmel Hospital Colville $94.50 not published
Providence St Mary Medical Center Walla Walla $82.60 $6,522.00 – $6,522.00
Kadlec Regional Medical Center Richland $219.80 $29.26 – $29.26

All Washington hospitals for this procedure →