Electron microscopy diagnostic 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

$992.46

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.

$1,946.00

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.

$622.89 with multiplan vs $3,008.66 with united healthcare — 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
multiplan medicare advantage $622.89 ↓ -37%
regence medicare advantage $756.36 ↓ -24%
optum care network medicare advantage $889.84 ↓ -10%
humana medicare advantage $889.84 ↓ -10%
united healthcare medicare advantage $889.84 ↓ -10%
premera medicare advantage hmo/ppo $889.84 ↓ -10%
kaiser foundation hp medicare $889.84 ↓ -10%
aetna medicare advantage ppo $916.53 ↓ -8%
aetna medicare advantage hmo $934.33 ↓ -6%
premera commercial $1,167.60 ↑ +18%
kaiser health plan commercial $1,173.44 ↑ +18%
aetna commercial $1,225.98 ↑ +24%
first choice commercial $1,246.41 ↑ +26%
regence uniform medical plan $1,362.20 ↑ +37%
regence commercial $1,362.20 ↑ +37%
cigna local plus $1,436.93 ↑ +45%
cigna commercial $1,436.93 ↑ +45%
coventry - first health commercial $1,556.80 ↑ +57%
united healthcare commercial $3,008.66 ↑ +203%

Visitor-reported prices

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Electron microscopy diagnostic at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $829.44 $785.37 – $2,952.54
Swedish Medical Center Cherry Hill Seattle $829.44 $785.37 – $2,858.31
Central Medical Center Seattle $1,807.20 $2,078.00 – $2,078.00
Providence St Joseph Hospital Chewelah $425.60 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $2,113.30 $863.91 – $2,284.91
Swedish Issaquah Issaquah $829.44 $785.37 – $2,952.54
Providence Mount Carmel Hospital Colville $410.90 not published
Swedish Edmonds Hospital Edmonds $829.44 $785.37 – $2,826.90

All Washington hospitals for this procedure →