Dactinomycin 0.5 mg intravenous solution 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

not published by hospital

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.

not published by hospital

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.

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The hospital's undiscounted list price — almost no one pays this.

$229.84 with multiplan vs $1,868.32 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.

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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
multiplan medicare advantage $229.84
regence medicare advantage $279.09
regence uniform medical plan $282.13
premera commercial $282.13
regence commercial $282.13
humana medicare advantage $328.34
united healthcare medicare advantage $328.34
united healthcare commercial $328.34
optum care network medicare advantage $328.34
premera medicare advantage hmo/ppo $328.34
kaiser foundation hp medicare $328.34
aetna medicare advantage ppo $338.19
aetna medicare advantage hmo $344.76
cigna commercial $1,015.23
cigna local plus $1,152.18
kaiser health plan commercial $1,619.06
aetna commercial $1,868.32

Visitor-reported prices

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Dactinomycin 0.5 mg intravenous solution at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $6,972.71 $337.67 – $2,882.91
Swedish Medical Center Cherry Hill Seattle $6,972.71 $337.67 – $2,089.07
Central Medical Center Seattle $1,016.99 $302.92 – $302.92
Providence Sacred Heart Medical Center and Children's Hospital Spokane $6,233.34 $337.67 – $2,402.43
Swedish Issaquah Issaquah $6,972.71 $337.67 – $2,882.91
Swedish Edmonds Hospital Edmonds $1,074.33 $337.67 – $2,245.75
Providence St Mary Medical Center Walla Walla $2,609.47 $337.67 – $2,809.27
Kadlec Regional Medical Center Richland $7,555.56 $337.67 – $2,360.65

All Washington hospitals for this procedure →