Drainage of mouth lesion at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$899.64
Cash price 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.
?
What you pay up front if you don't use insurance.
$1,764.00
Gross charge 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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.50 with first choice vs $3,873.00 with aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 ?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 ?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 | $12.50 | ↓ -99% |
| aetna | medicare advantage hmo | $18.23 | ↓ -98% |
| confluence health | medicare advantage | $37.45 | ↓ -96% |
| united healthcare | commercial | $306.50 | ↓ -66% |
| humana | medicare advantage | $318.05 | ↓ -65% |
| humana | choicecare medicare advantage | $318.05 | ↓ -65% |
| united healthcare | medicare advantage | $318.05 | ↓ -65% |
| kaiser foundation | hp medicare | $318.05 | ↓ -65% |
| optum care network | medicare advantage | $318.05 | ↓ -65% |
| multiplan | medicare advantage | $322.42 | ↓ -64% |
| premera | medicare advantage hmo/ppo | $322.42 | ↓ -64% |
| signal health | medicare advantage | $322.42 | ↓ -64% |
| regence | medicare advantage | $330.69 | ↓ -63% |
| regence | uniform medical plan | $531.59 | ↓ -41% |
| aetna | medicare advantage ppo | $571.36 | ↓ -36% |
| premera | commercial | $629.08 | ↓ -30% |
| coventry - first health | commercial | $993.84 | ↑ +10% |
| cigna | commercial | $1,012.04 | ↑ +12% |
| regence | commercial | $1,055.76 | ↑ +17% |
| kaiser health plan | commercial | $1,063.69 | ↑ +18% |
| aetna | commercial | $1,111.32 | ↑ +24% |
| cigna | local plus | $1,302.54 | ↑ +45% |
| aetna | medicare advantage | $3,873.00 | ↑ +331% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | not published | $624.54 – $2,076.08 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $624.54 – $2,009.83 |
| Central Medical Center | Seattle | not published | not published |
| St. Michael Medical Center | Silverdale | $457.95 | $653.69 – $2,152.99 |
| St. Anne Hospital | Burien | $316.84 | $446.17 – $933.84 |
| St. Anthony Hospital | Gig Harbor | $315.59 | $747.08 – $1,242.96 |
| St. Joseph Medical Center | Tacoma | $343.66 | $747.08 – $1,242.96 |
| St. Elizabeth Hospital | Enumclaw | $366.66 | $176.40 – $933.84 |