Burr hole skull & remove clot 61154 at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
not published by hospital
Cash price 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 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.
$22.29 with aetna 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 →
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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 ?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 ?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 |
|---|---|---|---|
| aetna | medicare advantage | $22.29 | — |
| first choice | commercial | $37.67 | — |
| aetna | medicare advantage ppo | $46.24 | — |
| confluence health | medicare advantage | $95.80 | — |
| aetna | medicare advantage hmo | $529.05 | — |
| united healthcare | commercial | $1,329.89 | — |
| humana | medicare advantage | $1,370.69 | — |
| humana | choicecare medicare advantage | $1,370.69 | — |
| united healthcare | medicare advantage | $1,370.69 | — |
| kaiser foundation | hp medicare | $1,370.69 | — |
| optum care network | medicare advantage | $1,370.69 | — |
| signal health | medicare advantage | $1,401.34 | — |
| multiplan | medicare advantage | $1,401.34 | — |
| premera | medicare advantage hmo/ppo | $1,401.34 | — |
| regence | medicare advantage | $1,434.87 | — |
| regence | uniform medical plan | $2,418.42 | — |
| premera | commercial | $2,861.97 | — |
| coventry - first health | commercial | $3,092.30 | — |
| regence | commercial | $3,209.61 | — |
| cigna | commercial | $4,391.20 | — |
| kaiser health plan | commercial | $5,837.67 | — |
| cigna | local plus | $9,117.06 | — |
| aetna | commercial | $18,711.00 | — |
Visitor-reported prices
Comments
Burr hole skull & remove clot 61154 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $6,637.92 | $7,277.00 – $7,277.00 |
| Swedish Medical Center Cherry Hill | Seattle | $6,637.92 | $7,277.00 – $7,277.00 |
| Providence St Joseph Hospital | Chewelah | $2,450.00 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,942.10 | $5,419.00 – $33,603.00 |
| Swedish Issaquah | Issaquah | $6,637.92 | $7,277.00 – $17,257.00 |
| Providence Mount Carmel Hospital | Colville | $2,945.60 | not published |
| Providence St Mary Medical Center | Walla Walla | $4,452.70 | not published |
| Kadlec Regional Medical Center | Richland | $1,433.60 | $2,182.40 – $7,909.00 |