Bx vulva or perineum/1 lesion 56605 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

$1,042.95

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.

$2,045.00

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.

$2.79 with first choice vs $1,510.03 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 $2.79 ↓ -100%
confluence health medicare advantage $25.45 ↓ -98%
united healthcare commercial $60.84 ↓ -94%
humana medicare advantage $61.53 ↓ -94%
humana choicecare medicare advantage $61.53 ↓ -94%
united healthcare medicare advantage $61.53 ↓ -94%
kaiser foundation hp medicare $61.53 ↓ -94%
optum care network medicare advantage $61.53 ↓ -94%
signal health medicare advantage $63.20 ↓ -94%
multiplan medicare advantage $63.20 ↓ -94%
premera medicare advantage hmo/ppo $63.20 ↓ -94%
regence medicare advantage $65.65 ↓ -94%
aetna medicare advantage hmo $72.31 ↓ -93%
regence uniform medical plan $110.70 ↓ -89%
aetna medicare advantage ppo $127.43 ↓ -88%
premera commercial $131.00 ↓ -87%
aetna medicare advantage $174.76 ↓ -83%
cigna commercial $200.90 ↓ -81%
coventry - first health commercial $216.73 ↓ -79%
regence commercial $241.53 ↓ -77%
kaiser health plan commercial $284.37 ↓ -73%
aetna commercial $1,288.35 ↑ +24%
cigna local plus $1,510.03 ↑ +45%

Visitor-reported prices

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Bx vulva or perineum/1 lesion 56605 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $1,155.36 $1,066.57 – $3,240.23
Swedish Medical Center Cherry Hill Seattle $1,155.36 $1,066.57 – $2,904.99
Central Medical Center Seattle not published not published
Providence St Joseph Hospital Chewelah $1,206.10 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,722.00 $1,026.37 – $2,612.11
Swedish Issaquah Issaquah $1,155.36 $1,069.56 – $3,000.76
Providence Centralia Hospital Centralia $1,750.83 $1,066.57 – $3,734.99
Providence Mount Carmel Hospital Colville $1,340.50 not published

All Washington hospitals for this procedure →