Clsd tx/metacarpal fx/sg without manip 26600 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

$479.91

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.

$941.00

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.

$8.91 with first choice vs $748.40 with confluence health — 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 $8.91 ↓ -98%
aetna medicare advantage ppo $61.52 ↓ -87%
aetna medicare advantage $83.94 ↓ -83%
aetna medicare advantage hmo $140.71 ↓ -71%
multiplan medicare advantage $182.91 ↓ -62%
regence medicare advantage $222.10 ↓ -54%
optum care network medicare advantage $261.30 ↓ -46%
premera medicare advantage hmo/ppo $261.30 ↓ -46%
united healthcare medicare advantage $261.30 ↓ -46%
humana medicare advantage $261.30 ↓ -46%
kaiser foundation hp medicare $261.30 ↓ -46%
united healthcare commercial $324.79 ↓ -32%
humana choicecare medicare advantage $340.26 ↓ -29%
signal health medicare advantage $344.88 ↓ -28%
regence uniform medical plan $552.85 ↑ +15%
premera commercial $564.60 ↑ +18%
kaiser health plan commercial $567.42 ↑ +18%
aetna commercial $592.83 ↑ +24%
regence commercial $658.70 ↑ +37%
coventry - first health commercial $687.98 ↑ +43%
cigna commercial $694.83 ↑ +45%
cigna local plus $694.83 ↑ +45%
confluence health medicare advantage $748.40 ↑ +56%

Visitor-reported prices

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Clsd tx/metacarpal fx/sg without manip 26600 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $705.60 $285.64 – $1,013.51
Swedish Medical Center Cherry Hill Seattle $705.60 $285.64 – $981.16
Central Medical Center Seattle $515.20 not published
Providence St Joseph Hospital Chewelah $543.20 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $457.10 $274.87 – $699.55
Swedish Issaquah Issaquah $705.60 $286.44 – $1,013.51
Providence Centralia Hospital Centralia $478.40 $285.64 – $1,261.49
Providence Mount Carmel Hospital Colville $543.20 not published

All Washington hospitals for this procedure →