Brain image w/flow 4 + views 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

$1,292.85

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.

$2,535.00

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.

$9.76 with first choice vs $1,871.84 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 $9.76 ↓ -99%
aetna medicare advantage $65.58 ↓ -95%
aetna medicare advantage hmo $73.91 ↓ -94%
confluence health medicare advantage $88.58 ↓ -93%
aetna medicare advantage ppo $127.97 ↓ -90%
humana medicare advantage $344.63 ↓ -73%
humana choicecare medicare advantage $344.63 ↓ -73%
united healthcare medicare advantage $344.63 ↓ -73%
kaiser foundation hp medicare $344.63 ↓ -73%
optum care network medicare advantage $344.63 ↓ -73%
united healthcare commercial $351.57 ↓ -73%
signal health medicare advantage $362.25 ↓ -72%
multiplan medicare advantage $362.25 ↓ -72%
premera medicare advantage hmo/ppo $362.25 ↓ -72%
regence medicare advantage $379.33 ↓ -71%
regence uniform medical plan $570.36 ↓ -56%
premera commercial $674.97 ↓ -48%
regence commercial $756.96 ↓ -41%
coventry - first health commercial $838.43 ↓ -35%
kaiser health plan commercial $1,037.89 ↓ -20%
cigna commercial $1,160.87 ↓ -10%
aetna commercial $1,597.05 ↑ +24%
cigna local plus $1,871.84 ↑ +45%

Visitor-reported prices

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Brain image w/flow 4 + views at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $1,547.04 $628.75 – $2,218.31
Swedish Medical Center Cherry Hill Seattle $1,547.04 $628.75 – $2,147.51
Central Medical Center Seattle $1,848.00 $539.00 – $539.00
Providence Sacred Heart Medical Center and Children's Hospital Spokane $3,948.70 $605.06 – $1,699.13
Swedish Issaquah Issaquah $1,547.04 $630.52 – $2,218.31
Providence Mount Carmel Hospital Colville $1,086.40 not published
Providence St Mary Medical Center Walla Walla $1,905.40 $478.94 – $1,119.35
Kadlec Regional Medical Center Richland $1,414.70 $532.41 – $1,845.44

All Washington hospitals for this procedure →