Burr hole skull for biopsy 61140 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.

$35.09 with confluence health vs $18,711.00 with aetna — 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
confluence health medicare advantage $35.09
first choice commercial $37.54
aetna medicare advantage ppo $41.66
aetna medicare advantage $58.61
aetna medicare advantage hmo $419.76
united healthcare commercial $1,318.63
humana medicare advantage $1,360.65
humana choicecare medicare advantage $1,360.65
united healthcare medicare advantage $1,360.65
kaiser foundation hp medicare $1,360.65
optum care network medicare advantage $1,360.65
signal health medicare advantage $1,391.58
multiplan medicare advantage $1,391.58
premera medicare advantage hmo/ppo $1,391.58
regence medicare advantage $1,422.72
regence uniform medical plan $2,402.79
premera commercial $2,843.46
coventry - first health commercial $3,082.61
regence commercial $3,188.86
cigna commercial $4,354.00
kaiser health plan commercial $5,836.05
cigna local plus $9,117.06
aetna commercial $18,711.00

Visitor-reported prices

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Burr hole skull for biopsy 61140 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
Providence Regional Medical Center Everett - Colby Campus Everett $2,029.04 $7,246.00 – $13,908.00
MultiCare Auburn Medical Center Auburn $4,386.00 $2,500.00 – $2,500.00
MultiCare Good Samaritan Hospital Puyallup $4,386.00 $2,500.00 – $2,500.00
MultiCare Capital Medical Center Olympia $4,386.00 $2,500.00 – $2,500.00
MultiCare Covington Medical Center Covington $4,386.00 $2,500.00 – $2,500.00
MultiCare Mary Bridge Children's Hospital Tacoma $4,386.00 not published

All Washington hospitals for this procedure →