Exc malig feenl <0.5cm 11640 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

$1,168.92

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.

$2,292.00

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.

$6.07 with first choice vs $3,008.25 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 $6.07 ↓ -99%
confluence health medicare advantage $111.87 ↓ -90%
united healthcare commercial $135.19 ↓ -88%
humana medicare advantage $139.09 ↓ -88%
humana choicecare medicare advantage $139.09 ↓ -88%
united healthcare medicare advantage $139.09 ↓ -88%
kaiser foundation hp medicare $139.09 ↓ -88%
optum care network medicare advantage $139.09 ↓ -88%
premera medicare advantage hmo/ppo $142.32 ↓ -88%
signal health medicare advantage $142.32 ↓ -88%
multiplan medicare advantage $142.32 ↓ -88%
regence medicare advantage $145.86 ↓ -88%
regence uniform medical plan $235.15 ↓ -80%
premera commercial $278.28 ↓ -76%
cigna commercial $446.38 ↓ -62%
coventry - first health commercial $488.35 ↓ -58%
regence commercial $506.30 ↓ -57%
kaiser health plan commercial $534.52 ↓ -54%
aetna medicare advantage ppo $789.40 ↓ -32%
aetna medicare advantage hmo $804.72 ↓ -31%
aetna commercial $1,443.96 ↑ +24%
cigna local plus $1,692.41 ↑ +45%
aetna medicare advantage $3,008.25 ↑ +157%

Visitor-reported prices

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Exc malig feenl <0.5cm 11640 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $1,899.84 $820.01 – $2,867.05
Swedish Medical Center Cherry Hill Seattle $1,899.84 $820.01 – $2,775.55
Central Medical Center Seattle not published not published
Swedish Issaquah Issaquah $1,899.84 $822.31 – $2,867.05
Providence St Luke's Rehabilitation Medical Center Spokane not published $789.10 – $868.01
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $789.10 – $2,008.27
Providence Centralia Hospital Centralia not published $820.01 – $3,568.56
Swedish Edmonds Hospital Edmonds not published $806.42 – $2,745.05

All Washington hospitals for this procedure →