Clsd tx/patellar fx without manip 27520 at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$567.12
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.
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What you pay up front if you don't use insurance.
$1,112.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$9.67 with first choice vs $918.43 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 →
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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 ?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 |
|---|---|---|---|
| first choice | commercial | $9.67 | ↓ -98% |
| aetna | medicare advantage | $95.57 | ↓ -83% |
| aetna | medicare advantage hmo | $159.70 | ↓ -72% |
| multiplan | medicare advantage | $182.91 | ↓ -68% |
| regence | medicare advantage | $222.10 | ↓ -61% |
| optum care network | medicare advantage | $261.30 | ↓ -54% |
| humana | medicare advantage | $261.30 | ↓ -54% |
| premera | medicare advantage hmo/ppo | $261.30 | ↓ -54% |
| united healthcare | medicare advantage | $261.30 | ↓ -54% |
| kaiser foundation | hp medicare | $261.30 | ↓ -54% |
| aetna | medicare advantage ppo | $269.14 | ↓ -53% |
| united healthcare | commercial | $337.92 | ↓ -40% |
| humana | choicecare medicare advantage | $351.55 | ↓ -38% |
| signal health | medicare advantage | $357.31 | ↓ -37% |
| regence | uniform medical plan | $579.75 | ↑ +2% |
| kaiser health plan | commercial | $613.16 | ↑ +8% |
| premera | commercial | $667.20 | ↑ +18% |
| aetna | commercial | $700.56 | ↑ +24% |
| regence | commercial | $733.93 | ↑ +29% |
| coventry - first health | commercial | $777.32 | ↑ +37% |
| cigna | commercial | $778.80 | ↑ +37% |
| cigna | local plus | $821.10 | ↑ +45% |
| confluence health | medicare advantage | $918.43 | ↑ +62% |
Visitor-reported prices
Comments
Clsd tx/patellar fx without manip 27520 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 | not published | not published |
| Providence St Joseph Hospital | Chewelah | $569.80 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $490.00 | $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 | $518.00 | not published |