Contrast x-ray of brain 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

$1,424.94

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.

$2,794.00

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.

$1.72 with first choice vs $1,760.22 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 $1.72 ↓ -100%
aetna medicare advantage hmo $8.53 ↓ -99%
united healthcare commercial $60.07 ↓ -96%
optum care network medicare advantage $60.82 ↓ -96%
humana medicare advantage $60.82 ↓ -96%
kaiser foundation hp medicare $60.82 ↓ -96%
humana choicecare medicare advantage $60.82 ↓ -96%
united healthcare medicare advantage $60.82 ↓ -96%
signal health medicare advantage $61.50 ↓ -96%
multiplan medicare advantage $61.50 ↓ -96%
premera medicare advantage hmo/ppo $61.50 ↓ -96%
regence medicare advantage $64.81 ↓ -95%
aetna medicare advantage $84.65 ↓ -94%
confluence health medicare advantage $90.53 ↓ -94%
regence uniform medical plan $108.82 ↓ -92%
premera commercial $128.78 ↓ -91%
regence commercial $144.42 ↓ -90%
cigna commercial $198.35 ↓ -86%
aetna medicare advantage ppo $209.84 ↓ -85%
kaiser health plan commercial $290.24 ↓ -80%
coventry - first health commercial $446.29 ↓ -69%
cigna local plus $1,317.58 ↓ -8%
aetna commercial $1,760.22 ↑ +24%

Visitor-reported prices

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Contrast x-ray of brain at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $1,433.60 $358.00 – $358.00
Swedish Medical Center - First Hill Campus Seattle not published $403.99 – $1,794.70
Swedish Medical Center Cherry Hill Seattle not published $403.99 – $1,737.42
Providence Sacred Heart Medical Center and Children's Hospital Spokane $2,833.60 $388.77 – $1,374.66
Providence Regional Medical Center Everett - Colby Campus Everett $1,287.00 $165.53 – $1,603.77
St. Michael Medical Center Silverdale $1,307.41 $1,736.41 – $2,666.07
St. Anne Hospital Burien $904.56 $934.73 – $2,718.82
St. Anthony Hospital Gig Harbor $900.98 $934.73 – $2,560.63

All Washington hospitals for this procedure →