Endoscpy nsl/sns w/cntrl nsl hmrrgh 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

$4,562.97

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.

$8,947.00

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.

$7.37 with first choice vs $6,362.21 with cigna — 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 $7.37 ↓ -100%
aetna medicare advantage $8.40 ↓ -100%
aetna medicare advantage hmo $30.05 ↓ -99%
aetna medicare advantage ppo $81.50 ↓ -98%
united healthcare commercial $174.33 ↓ -96%
humana medicare advantage $178.18 ↓ -96%
optum care network medicare advantage $178.18 ↓ -96%
kaiser foundation hp medicare $178.18 ↓ -96%
united healthcare medicare advantage $178.18 ↓ -96%
humana choicecare medicare advantage $178.18 ↓ -96%
signal health medicare advantage $182.43 ↓ -96%
multiplan medicare advantage $182.43 ↓ -96%
premera medicare advantage hmo/ppo $182.43 ↓ -96%
regence medicare advantage $188.09 ↓ -96%
confluence health medicare advantage $299.34 ↓ -93%
regence uniform medical plan $310.82 ↓ -93%
premera commercial $367.83 ↓ -92%
cigna commercial $575.63 ↓ -87%
regence commercial $624.99 ↓ -86%
kaiser health plan commercial $759.89 ↓ -83%
coventry - first health commercial $860.87 ↓ -81%
aetna commercial $5,636.61 ↑ +24%
cigna local plus $6,362.21 ↑ +39%

Visitor-reported prices

visitor-reported
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Endoscpy nsl/sns w/cntrl nsl hmrrgh at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $3,692.64 $2,061.10 – $6,967.07
Swedish Medical Center Cherry Hill Seattle $3,692.64 $2,061.10 – $6,709.56
Central Medical Center Seattle $3,704.80 not published
Providence St Joseph Hospital Chewelah $2,790.20 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $3,126.90 $1,983.42 – $5,047.80
Swedish Issaquah Issaquah $3,692.64 $2,066.89 – $6,967.07
Providence Centralia Hospital Centralia $3,158.48 $2,061.10 – $8,369.07
Providence Mount Carmel Hospital Colville $2,797.20 not published

All Washington hospitals for this procedure →