Dir nsl mucous membrane test 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

$79.05

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.

$155.00

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.

$0.78 with first choice vs $845.64 with confluence health — 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 $0.78 ↓ -99%
multiplan medicare advantage $29.93 ↓ -62%
united healthcare commercial $32.28 ↓ -59%
optum care network medicare advantage $34.61 ↓ -56%
kaiser foundation hp medicare $34.61 ↓ -56%
united healthcare medicare advantage $34.61 ↓ -56%
humana choicecare medicare advantage $34.61 ↓ -56%
humana medicare advantage $34.61 ↓ -56%
regence medicare advantage $34.83 ↓ -56%
signal health medicare advantage $35.21 ↓ -55%
premera medicare advantage hmo/ppo $35.21 ↓ -55%
aetna medicare advantage ppo $44.04 ↓ -44%
aetna medicare advantage hmo $44.89 ↓ -43%
regence uniform medical plan $51.91 ↓ -34%
premera commercial $61.43 ↓ -22%
coventry - first health commercial $61.48 ↓ -22%
regence commercial $68.89 ↓ -13%
kaiser health plan commercial $72.43 ↓ -8%
aetna medicare advantage $85.15 ↑ +8%
aetna commercial $97.65 ↑ +24%
cigna commercial $106.58 ↑ +35%
cigna local plus $114.45 ↑ +45%
confluence health medicare advantage $845.64 ↑ +970%

Visitor-reported prices

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Dir nsl mucous membrane test at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $43.25 – $157.12
Swedish Medical Center Cherry Hill Seattle not published $43.25 – $152.11
Providence St Luke's Rehabilitation Medical Center Spokane not published $41.62 – $45.78
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $41.62 – $120.35
Swedish Issaquah Issaquah not published $43.37 – $157.12
Providence Centralia Hospital Centralia not published $43.25 – $208.27
Swedish Edmonds Hospital Edmonds not published $42.54 – $150.44
Providence St Mary Medical Center Walla Walla not published $35.54 – $77.00

All Washington hospitals for this procedure →