Bx bone trocar/ndl deep 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

$2,234.82

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.

$4,382.00

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.

$12.16 with first choice vs $3,235.67 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 $12.16 ↓ -99%
aetna medicare advantage $128.34 ↓ -94%
united healthcare commercial $132.27 ↓ -94%
united healthcare medicare advantage $134.94 ↓ -94%
kaiser foundation hp medicare $134.94 ↓ -94%
optum care network medicare advantage $134.94 ↓ -94%
humana choicecare medicare advantage $134.94 ↓ -94%
humana medicare advantage $134.94 ↓ -94%
signal health medicare advantage $137.24 ↓ -94%
multiplan medicare advantage $137.24 ↓ -94%
premera medicare advantage hmo/ppo $137.24 ↓ -94%
aetna medicare advantage hmo $141.89 ↓ -94%
regence medicare advantage $142.71 ↓ -94%
regence uniform medical plan $238.28 ↓ -89%
premera commercial $281.98 ↓ -87%
cigna commercial $436.74 ↓ -80%
kaiser health plan commercial $495.43 ↓ -78%
confluence health medicare advantage $745.95 ↓ -67%
regence commercial $963.63 ↓ -57%
coventry - first health commercial $1,672.73 ↓ -25%
aetna medicare advantage ppo $1,817.84 ↓ -19%
aetna commercial $2,760.66 ↑ +24%
cigna local plus $3,235.67 ↑ +45%

Visitor-reported prices

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Bx bone trocar/ndl deep at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $4,420.32 $1,912.53 – $6,684.56
Swedish Medical Center Cherry Hill Seattle $4,420.32 $1,912.53 – $6,437.49
Central Medical Center Seattle $3,760.00 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $4,145.40 $1,840.45 – $4,683.94
Swedish Issaquah Issaquah $4,420.32 $1,917.90 – $6,684.56
Providence Mount Carmel Hospital Colville $1,654.80 not published
Providence St Mary Medical Center Walla Walla $2,780.40 $1,436.62 – $3,404.83
Kadlec Regional Medical Center Richland $3,430.70 $217.44 – $5,092.35

All Washington hospitals for this procedure →