Cholinesterase challenge 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

$466.14

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.

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What you pay up front if you don't use insurance.

$914.00

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.

$1.63 with first choice vs $1,933.34 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 →

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 $1.63 ↓ -100%
united healthcare commercial $29.41 ↓ -94%
humana medicare advantage $29.64 ↓ -94%
united healthcare medicare advantage $29.64 ↓ -94%
kaiser foundation hp medicare $29.64 ↓ -94%
optum care network medicare advantage $29.64 ↓ -94%
humana choicecare medicare advantage $29.64 ↓ -94%
signal health medicare advantage $30.50 ↓ -93%
multiplan medicare advantage $30.50 ↓ -93%
premera medicare advantage hmo/ppo $30.50 ↓ -93%
regence medicare advantage $31.73 ↓ -93%
regence uniform medical plan $52.53 ↓ -89%
premera commercial $62.17 ↓ -87%
cigna commercial $97.10 ↓ -79%
coventry - first health commercial $119.04 ↓ -74%
kaiser health plan commercial $136.91 ↓ -71%
regence commercial $154.38 ↓ -67%
aetna medicare advantage hmo $187.72 ↓ -60%
aetna medicare advantage ppo $228.78 ↓ -51%
confluence health medicare advantage $358.48 ↓ -23%
aetna commercial $575.82 ↑ +24%
cigna local plus $674.90 ↑ +45%
aetna medicare advantage $1,933.34 ↑ +315%

Visitor-reported prices

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Cholinesterase challenge at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $700.80 $250.04 – $1,189.57
Swedish Medical Center Cherry Hill Seattle $700.80 $250.04 – $1,151.61
Swedish Issaquah Issaquah $700.80 $250.74 – $1,189.57
Providence St Luke's Rehabilitation Medical Center Spokane not published $240.61 – $264.67
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $240.61 – $911.16
Providence Centralia Hospital Centralia not published $250.04 – $1,576.81
Swedish Edmonds Hospital Edmonds not published $245.89 – $1,138.95
Providence St Mary Medical Center Walla Walla not published $240.61 – $445.13

All Washington hospitals for this procedure →