Complx repair enel addl 5cm/< 13153 at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$294.27
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.
$577.00
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.
$5.52 with first choice vs $2,746.76 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 →
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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 | $5.52 | ↓ -98% |
| united healthcare | commercial | $140.62 | ↓ -52% |
| humana | medicare advantage | $143.66 | ↓ -51% |
| united healthcare | medicare advantage | $143.66 | ↓ -51% |
| kaiser foundation | hp medicare | $143.66 | ↓ -51% |
| optum care network | medicare advantage | $143.66 | ↓ -51% |
| humana | choicecare medicare advantage | $143.66 | ↓ -51% |
| signal health | medicare advantage | $145.93 | ↓ -50% |
| multiplan | medicare advantage | $145.93 | ↓ -50% |
| premera | medicare advantage hmo/ppo | $145.93 | ↓ -50% |
| regence | medicare advantage | $151.72 | ↓ -48% |
| regence | uniform medical plan | $253.29 | ↓ -14% |
| premera | commercial | $299.74 | ↑ +2% |
| confluence health | medicare advantage | $327.11 | ↑ +11% |
| kaiser health plan | commercial | $347.93 | ↑ +18% |
| aetna | commercial | $363.51 | ↑ +24% |
| regence | commercial | $403.90 | ↑ +37% |
| cigna | commercial | $426.06 | ↑ +45% |
| cigna | local plus | $426.06 | ↑ +45% |
| coventry - first health | commercial | $461.60 | ↑ +57% |
| aetna | medicare advantage hmo | $625.83 | ↑ +113% |
| aetna | medicare advantage | $1,134.27 | ↑ +285% |
| aetna | medicare advantage ppo | $2,746.76 | ↑ +833% |
Visitor-reported prices
Comments
Complx repair enel addl 5cm/< 13153 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $480.48 | not published |
| Swedish Medical Center Cherry Hill | Seattle | $480.48 | not published |
| Providence St Joseph Hospital | Chewelah | $291.20 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $406.00 | $18,229.00 – $18,229.00 |
| Swedish Issaquah | Issaquah | $480.48 | $11,210.00 – $11,210.00 |
| Providence Mount Carmel Hospital | Colville | $347.90 | not published |
| Providence St Mary Medical Center | Walla Walla | $1,167.60 | $16,398.00 – $16,398.00 |
| Kadlec Regional Medical Center | Richland | $1,416.80 | $229.48 – $229.48 |