Established Patient Office Visit (level 5) 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.

$5.25 with first choice vs $1,890.59 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 $5.25 ↓ -93%
premera commercial $85.20 ↑ +18%
kaiser health plan commercial $85.63 ↑ +18%
aetna commercial $89.46 ↑ +24%
regence uniform medical plan $99.40 ↑ +37%
regence commercial $99.40 ↑ +37%
cigna local plus $104.85 ↑ +45%
cigna commercial $104.85 ↑ +45%
coventry - first health commercial $113.60 ↑ +57%
united healthcare commercial $147.40 ↑ +104%
united healthcare medicare advantage $150.77 ↑ +108%
optum care network medicare advantage $150.77 ↑ +108%
kaiser foundation hp medicare $150.77 ↑ +108%
humana medicare advantage $150.77 ↑ +108%
humana choicecare medicare advantage $150.77 ↑ +108%
signal health medicare advantage $155.04 ↑ +114%
multiplan medicare advantage $155.04 ↑ +114%
premera medicare advantage hmo/ppo $155.04 ↑ +114%
regence medicare advantage $159.03 ↑ +120%
aetna medicare advantage $398.36 ↑ +450%
aetna medicare advantage ppo $473.89 ↑ +554%
aetna medicare advantage hmo $1,076.30 ↑ +1386%
confluence health medicare advantage $1,890.59 ↑ +2511%

Visitor-reported prices

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Established Patient Office Visit (level 5) at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $244.30 not published
Providence Centralia Hospital Centralia $290.68 not published
Providence Mount Carmel Hospital Colville $403.90 not published
Providence Regional Medical Center Everett - Colby Campus Everett $219.44 not published
Providence St Peter Hospital Olympia $290.68 not published
St. Michael Medical Center Silverdale $312.92 $446.67 – $638.10
St. Anne Hospital Burien $216.50 $304.87 – $755.08
St. Anthony Hospital Gig Harbor $215.65 $510.48 – $867.23

All Washington hospitals for this procedure →