Bone/skin graft iliac crest 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

not published by hospital

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.

not published by hospital

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.

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

$8,023.01 with cigna vs $49,767.71 with united healthcare — 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.

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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
cigna commercial $8,023.01
cigna local plus $9,117.06
multiplan medicare advantage $10,303.45
regence medicare advantage $12,511.33
aetna commercial $14,500.00
humana medicare advantage $14,719.22
united healthcare medicare advantage $14,719.22
kaiser foundation hp medicare $14,719.22
optum care network medicare advantage $14,719.22
premera medicare advantage hmo/ppo $14,719.22
aetna medicare advantage ppo $15,160.79
aetna medicare advantage hmo $15,455.18
regence uniform medical plan $22,279.71
regence commercial $26,907.48
premera commercial $29,412.84
united healthcare commercial $49,767.71

Visitor-reported prices

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Bone/skin graft iliac crest at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $7,277.00 – $25,527.16
Swedish Medical Center Cherry Hill Seattle not published $7,277.00 – $19,662.13
Providence St Luke's Rehabilitation Medical Center Spokane not published $8,085.92 – $8,894.51
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $5,419.00 – $20,578.67
Swedish Issaquah Issaquah not published $7,277.00 – $18,706.16
Providence Centralia Hospital Centralia not published $8,402.62 – $15,544.85
Swedish Edmonds Hospital Edmonds not published $2,836.00 – $20,989.03
Providence St Mary Medical Center Walla Walla not published $5,826.40 – $14,958.96

All Washington hospitals for this procedure →