Bronchial brush biopsy 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

$714.00

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.

$1,400.00

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.

$8.61 with first choice vs $1,033.76 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 $8.61 ↓ -99%
aetna medicare advantage $62.84 ↓ -91%
aetna medicare advantage hmo $97.22 ↓ -86%
united healthcare commercial $107.62 ↓ -85%
humana medicare advantage $108.69 ↓ -85%
optum care network medicare advantage $108.69 ↓ -85%
kaiser foundation hp medicare $108.69 ↓ -85%
humana choicecare medicare advantage $108.69 ↓ -85%
united healthcare medicare advantage $108.69 ↓ -85%
signal health medicare advantage $112.14 ↓ -84%
multiplan medicare advantage $112.14 ↓ -84%
premera medicare advantage hmo/ppo $112.14 ↓ -84%
regence medicare advantage $116.11 ↓ -84%
aetna medicare advantage ppo $140.17 ↓ -80%
confluence health medicare advantage $162.70 ↓ -77%
regence uniform medical plan $194.50 ↓ -73%
premera commercial $230.17 ↓ -68%
cigna commercial $355.35 ↓ -50%
kaiser health plan commercial $526.28 ↓ -26%
regence commercial $713.80 ↓ -0%
coventry - first health commercial $760.99 ↑ +7%
aetna commercial $882.00 ↑ +24%
cigna local plus $1,033.76 ↑ +45%

Visitor-reported prices

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Bronchial brush biopsy at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $452.91 – $1,776.08
Swedish Medical Center Cherry Hill Seattle not published $452.91 – $1,719.40
Central Medical Center Seattle not published not published
Providence St Luke's Rehabilitation Medical Center Spokane not published $435.84 – $479.42
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $435.84 – $1,171.46
Swedish Issaquah Issaquah not published $454.18 – $1,776.08
Providence Centralia Hospital Centralia not published $452.91 – $2,210.66
Swedish Edmonds Hospital Edmonds not published $445.41 – $1,700.51

All Washington hospitals for this procedure →