Determination venous press 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

$167.28

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.

Full explanation →

What you pay up front if you don't use insurance.

$328.00

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.

$0.23 with first choice vs $1,275.15 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 $0.23 ↓ -100%
united healthcare commercial $7.98 ↓ -95%
humana medicare advantage $8.04 ↓ -95%
united healthcare medicare advantage $8.04 ↓ -95%
kaiser foundation hp medicare $8.04 ↓ -95%
optum care network medicare advantage $8.04 ↓ -95%
humana choicecare medicare advantage $8.04 ↓ -95%
signal health medicare advantage $8.28 ↓ -95%
multiplan medicare advantage $8.28 ↓ -95%
premera medicare advantage hmo/ppo $8.28 ↓ -95%
regence medicare advantage $8.61 ↓ -95%
regence uniform medical plan $14.38 ↓ -91%
premera commercial $17.02 ↓ -90%
regence commercial $19.09 ↓ -89%
coventry - first health commercial $22.94 ↓ -86%
cigna commercial $26.36 ↓ -84%
kaiser health plan commercial $38.48 ↓ -77%
confluence health medicare advantage $81.35 ↓ -51%
aetna commercial $206.64 ↑ +24%
cigna local plus $242.20 ↑ +45%
aetna medicare advantage hmo $294.44 ↑ +76%
aetna medicare advantage $828.19 ↑ +395%
aetna medicare advantage ppo $1,275.15 ↑ +662%

Visitor-reported prices

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Determination venous press at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $15.40 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $101.50 not published
Providence Mount Carmel Hospital Colville $19.60 not published
Providence St Mary Medical Center Walla Walla $116.90 not published
Kadlec Regional Medical Center Richland $104.30 $13.20 – $13.20
Providence Holy Family Hospital Spokane $108.50 not published
MultiCare Valley Hospital Spokane Valley not published $46.32 – $49.05
MultiCare Auburn Medical Center Auburn not published $47.38 – $51.17

All Washington hospitals for this procedure →