Biliary endoscopy thru skin 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

$5,703.33

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.

$11,183.00

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.

$7.99 with first choice vs $8,257.53 with cigna — 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
first choice commercial $7.99 ↓ -100%
aetna medicare advantage ppo $8.06 ↓ -100%
aetna medicare advantage $24.37 ↓ -100%
aetna medicare advantage hmo $38.17 ↓ -99%
united healthcare commercial $274.37 ↓ -95%
humana medicare advantage $280.29 ↓ -95%
optum care network medicare advantage $280.29 ↓ -95%
kaiser foundation hp medicare $280.29 ↓ -95%
united healthcare medicare advantage $280.29 ↓ -95%
humana choicecare medicare advantage $280.29 ↓ -95%
signal health medicare advantage $284.09 ↓ -95%
multiplan medicare advantage $284.09 ↓ -95%
premera medicare advantage hmo/ppo $284.09 ↓ -95%
regence medicare advantage $296.03 ↓ -95%
regence uniform medical plan $510.33 ↓ -91%
premera commercial $603.92 ↓ -89%
regence commercial $677.28 ↓ -88%
coventry - first health commercial $878.35 ↓ -85%
cigna commercial $905.94 ↓ -84%
kaiser health plan commercial $1,505.87 ↓ -74%
aetna commercial $7,045.29 ↑ +24%
confluence health medicare advantage $7,193.00 ↑ +26%
cigna local plus $8,257.53 ↑ +45%

Visitor-reported prices

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Biliary endoscopy thru skin at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $8,326.08 $7,277.00 – $22,774.72
Swedish Medical Center Cherry Hill Seattle $8,326.08 $7,277.00 – $17,542.08
Central Medical Center Seattle not published not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $7,001.40 $7,214.07 – $18,359.80
Swedish Issaquah Issaquah $8,326.08 $7,277.00 – $16,689.18
MultiCare Valley Hospital Spokane Valley $6,924.00 $2,914.39 – $20,458.19
MultiCare Yakima Memorial Hospital Yakima $6,924.00 $5,159.02 – $23,546.83
MultiCare Auburn Medical Center Auburn $6,924.00 $2,981.02 – $31,075.82

All Washington hospitals for this procedure →