Bronchoscopy/needle bx addl 31633 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

$1,424.43

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.

$2,793.00

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.

$2.36 with first choice vs $2,062.35 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 $2.36 ↓ -100%
aetna medicare advantage $28.07 ↓ -98%
aetna medicare advantage ppo $48.73 ↓ -97%
united healthcare commercial $62.75 ↓ -96%
kaiser foundation hp medicare $63.91 ↓ -96%
united healthcare medicare advantage $63.91 ↓ -96%
humana choicecare medicare advantage $63.91 ↓ -96%
humana medicare advantage $63.91 ↓ -96%
optum care network medicare advantage $63.91 ↓ -96%
signal health medicare advantage $65.36 ↓ -95%
multiplan medicare advantage $65.36 ↓ -95%
premera medicare advantage hmo/ppo $65.36 ↓ -95%
regence medicare advantage $67.71 ↓ -95%
confluence health medicare advantage $82.07 ↓ -94%
regence uniform medical plan $114.45 ↓ -92%
premera commercial $135.44 ↓ -90%
regence commercial $196.71 ↓ -86%
cigna commercial $207.20 ↓ -85%
aetna medicare advantage hmo $207.31 ↓ -85%
coventry - first health commercial $232.50 ↓ -84%
kaiser health plan commercial $312.90 ↓ -78%
aetna commercial $1,759.59 ↑ +24%
cigna local plus $2,062.35 ↑ +45%

Visitor-reported prices

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Bronchoscopy/needle bx addl 31633 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $7,277.00 – $7,277.00
Swedish Medical Center Cherry Hill Seattle not published $7,277.00 – $7,277.00
MultiCare Valley Hospital Spokane Valley $1,242.40 $1,113.76 – $1,179.27
MultiCare Auburn Medical Center Auburn $1,245.60 $1,139.22 – $1,230.36
MultiCare Good Samaritan Hospital Puyallup $1,245.60 $1,165.56 – $1,258.81
MultiCare Capital Medical Center Olympia $1,245.60 $1,225.98 – $1,816.27
MultiCare Covington Medical Center Covington $1,245.60 $1,139.22 – $1,230.36
MultiCare Mary Bridge Children's Hospital Tacoma $1,245.60 $1,160.21 – $4,118.75

All Washington hospitals for this procedure →