Established Patient Office Visit (level 1) 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

$72.42

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.

$142.00

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.

$0.66 with first choice vs $1,253.73 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 $0.66 ↓ -99%
united healthcare commercial $9.05 ↓ -88%
humana medicare advantage $9.11 ↓ -87%
united healthcare medicare advantage $9.11 ↓ -87%
kaiser foundation hp medicare $9.11 ↓ -87%
optum care network medicare advantage $9.11 ↓ -87%
humana choicecare medicare advantage $9.11 ↓ -87%
signal health medicare advantage $9.38 ↓ -87%
multiplan medicare advantage $9.38 ↓ -87%
premera medicare advantage hmo/ppo $9.38 ↓ -87%
regence medicare advantage $9.76 ↓ -87%
regence uniform medical plan $16.26 ↓ -78%
premera commercial $19.24 ↓ -73%
cigna commercial $22.30 ↓ -69%
kaiser health plan commercial $43.31 ↓ -40%
coventry - first health commercial $53.06 ↓ -27%
regence commercial $57.27 ↓ -21%
aetna commercial $89.46 ↑ +24%
cigna local plus $104.85 ↑ +45%
aetna medicare advantage $411.61 ↑ +468%
aetna medicare advantage hmo $728.86 ↑ +906%
confluence health medicare advantage $1,247.24 ↑ +1622%
aetna medicare advantage ppo $1,253.73 ↑ +1631%

Visitor-reported prices

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Established Patient Office Visit (level 1) at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $112.70 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $191.80 not published
Providence Mount Carmel Hospital Colville $121.80 not published
Providence Holy Family Hospital Spokane $202.30 not published
Providence Regional Medical Center Everett - Colby Campus Everett $27.04 not published
Providence St Peter Hospital Olympia $104.52 not published
MultiCare Valley Hospital Spokane Valley $177.20 not published
MultiCare Yakima Memorial Hospital Yakima $114.00 $25.00 – $45.00

All Washington hospitals for this procedure →