Blink reflex test 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

$158.10

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.

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

$310.00

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.

$2.53 with first choice vs $465.23 with confluence 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
first choice commercial $2.53 ↓ -98%
multiplan medicare advantage $45.29 ↓ -71%
regence medicare advantage $54.99 ↓ -65%
kaiser foundation hp medicare $64.70 ↓ -59%
humana medicare advantage $64.70 ↓ -59%
premera medicare advantage hmo/ppo $64.70 ↓ -59%
optum care network medicare advantage $64.70 ↓ -59%
united healthcare medicare advantage $64.70 ↓ -59%
aetna medicare advantage ppo $66.64 ↓ -58%
aetna medicare advantage hmo $67.93 ↓ -57%
humana choicecare medicare advantage $90.86 ↓ -43%
united healthcare commercial $92.20 ↓ -42%
signal health medicare advantage $96.34 ↓ -39%
regence uniform medical plan $153.85 ↓ -3%
kaiser health plan commercial $170.26 ↑ +8%
premera commercial $182.06 ↑ +15%
coventry - first health commercial $183.57 ↑ +16%
regence commercial $190.36 ↑ +20%
cigna commercial $192.83 ↑ +22%
aetna commercial $195.30 ↑ +24%
cigna local plus $219.13 ↑ +39%
aetna medicare advantage $341.16 ↑ +116%
confluence health medicare advantage $465.23 ↑ +194%

Visitor-reported prices

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Blink reflex test at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $208.80 not published
Swedish Medical Center - First Hill Campus Seattle not published $68.31 – $258.55
Swedish Medical Center Cherry Hill Seattle not published $68.31 – $250.30
MultiCare Valley Hospital Spokane Valley $125.60 $49.35 – $255.79
Providence St Luke's Rehabilitation Medical Center Spokane not published $65.74 – $72.31
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $65.74 – $198.04
Swedish Issaquah Issaquah not published $68.50 – $258.55
Providence Centralia Hospital Centralia not published $68.31 – $342.71

All Washington hospitals for this procedure →