Bx vulva or perineum/ea add lesion 56606 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

$250.41

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.

$491.00

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.

$1.14 with first choice vs $362.55 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 $1.14 ↓ -100%
confluence health medicare advantage $16.91 ↓ -93%
aetna medicare advantage hmo $26.44 ↓ -89%
humana medicare advantage $29.84 ↓ -88%
humana choicecare medicare advantage $29.84 ↓ -88%
united healthcare medicare advantage $29.84 ↓ -88%
kaiser foundation hp medicare $29.84 ↓ -88%
optum care network medicare advantage $29.84 ↓ -88%
united healthcare commercial $30.10 ↓ -88%
signal health medicare advantage $30.99 ↓ -88%
multiplan medicare advantage $30.99 ↓ -88%
premera medicare advantage hmo/ppo $30.99 ↓ -88%
regence medicare advantage $32.48 ↓ -87%
aetna medicare advantage $44.24 ↓ -82%
regence uniform medical plan $55.04 ↓ -78%
premera commercial $65.13 ↓ -74%
regence commercial $96.28 ↓ -62%
cigna commercial $99.39 ↓ -60%
coventry - first health commercial $99.94 ↓ -60%
aetna medicare advantage ppo $141.81 ↓ -43%
kaiser health plan commercial $142.00 ↓ -43%
aetna commercial $309.33 ↑ +24%
cigna local plus $362.55 ↑ +45%

Visitor-reported prices

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Bx vulva or perineum/ea add lesion 56606 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Regional Medical Center Everett - Colby Campus Everett $24.96 $1,985.00 – $1,985.00
St. Michael Medical Center Silverdale $208.69 $297.89 – $425.56
St. Anne Hospital Burien $144.39 $203.33 – $425.56
St. Anthony Hospital Gig Harbor $143.82 $340.45 – $354.63
MultiCare Auburn Medical Center Auburn $685.20 $317.59 – $343.00
MultiCare Good Samaritan Hospital Puyallup $685.20 $324.94 – $350.93
St. Joseph Medical Center Tacoma $156.61 $340.45 – $354.63
St. Elizabeth Hospital Enumclaw $167.09 $80.39 – $425.56

All Washington hospitals for this procedure →