Bx breast pq tomo guide at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$4,101.42
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.
?
What you pay up front if you don't use insurance.
$8,042.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,919.81 with multiplan vs $14,103.27 with united healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| multiplan | medicare advantage | $2,919.81 | ↓ -29% |
| regence | medicare advantage | $3,545.49 | ↓ -14% |
| optum care network | medicare advantage | $4,171.16 | ↑ +2% |
| humana | medicare advantage | $4,171.16 | ↑ +2% |
| united healthcare | medicare advantage | $4,171.16 | ↑ +2% |
| premera | medicare advantage hmo/ppo | $4,171.16 | ↑ +2% |
| kaiser foundation | hp medicare | $4,171.16 | ↑ +2% |
| aetna | medicare advantage ppo | $4,296.30 | ↑ +5% |
| aetna | medicare advantage hmo | $4,379.72 | ↑ +7% |
| aetna | commercial | $4,497.00 | ↑ +10% |
| premera | commercial | $4,825.20 | ↑ +18% |
| kaiser health plan | commercial | $4,849.33 | ↑ +18% |
| first choice | commercial | $5,150.90 | ↑ +26% |
| regence | uniform medical plan | $5,629.40 | ↑ +37% |
| regence | commercial | $5,629.40 | ↑ +37% |
| cigna | local plus | $5,938.21 | ↑ +45% |
| cigna | commercial | $5,938.21 | ↑ +45% |
| coventry - first health | commercial | $6,433.60 | ↑ +57% |
| united healthcare | commercial | $14,103.27 | ↑ +244% |
Visitor-reported prices
Comments
Bx breast pq tomo guide at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $4,170.24 | $4,534.03 – $14,753.91 |
| Swedish Medical Center Cherry Hill | Seattle | $4,170.24 | $4,534.03 – $14,208.59 |
| Central Medical Center | Seattle | $8,720.00 | not published |
| Swedish Issaquah | Issaquah | $4,170.24 | $4,546.75 – $14,753.91 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $4,363.14 – $4,799.46 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $4,363.14 – $11,104.20 |
| Providence Centralia Hospital | Centralia | not published | $4,534.03 – $17,722.87 |
| Swedish Edmonds Hospital | Edmonds | not published | $1,638.00 – $14,663.02 |