CT upper extremity without contrast (both sides) 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

$642.09

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.

$1,259.00

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.

$5.20 with first choice vs $793.17 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 $5.20 ↓ -99%
confluence health medicare advantage $72.76 ↓ -89%
multiplan medicare advantage $81.09 ↓ -87%
regence medicare advantage $98.46 ↓ -85%
humana medicare advantage $115.84 ↓ -82%
united healthcare medicare advantage $115.84 ↓ -82%
kaiser foundation hp medicare $115.84 ↓ -82%
optum care network medicare advantage $115.84 ↓ -82%
premera medicare advantage hmo/ppo $115.84 ↓ -82%
aetna medicare advantage ppo $115.98 ↓ -82%
aetna medicare advantage hmo $121.63 ↓ -81%
aetna medicare advantage $150.36 ↓ -77%
humana choicecare medicare advantage $186.54 ↓ -71%
united healthcare commercial $190.31 ↓ -70%
signal health medicare advantage $194.80 ↓ -70%
regence uniform medical plan $283.33 ↓ -56%
kaiser health plan commercial $316.58 ↓ -51%
regence commercial $342.18 ↓ -47%
cigna commercial $345.25 ↓ -46%
premera commercial $372.27 ↓ -42%
cigna local plus $392.34 ↓ -39%
coventry - first health commercial $681.09 ↑ +6%
aetna commercial $793.17 ↑ +24%

Visitor-reported prices

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CT upper extremity without contrast (both sides) at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $444.00 $121.06 – $526.78
Swedish Medical Center Cherry Hill Seattle $444.00 $121.06 – $509.96
Central Medical Center Seattle $1,440.00 $107.00 – $107.00
Providence St Luke's Rehabilitation Medical Center Spokane $404.46 $116.50 – $128.15
Providence St Joseph Hospital Chewelah $1,220.10 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,241.10 $116.50 – $403.49
Swedish Issaquah Issaquah $444.00 $121.40 – $526.78
Providence Centralia Hospital Centralia $1,623.44 $121.06 – $698.26

All Washington hospitals for this procedure →