Exc tr-ext mal+marg tal >4 cm 11606 at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$3,948.42
Cash price 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.
$7,742.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$13.19 with first choice vs $5,716.69 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 →
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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 ?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 ?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 | $13.19 | ↓ -100% |
| confluence health | medicare advantage | $266.28 | ↓ -93% |
| aetna | medicare advantage hmo | $280.33 | ↓ -93% |
| united healthcare | commercial | $328.80 | ↓ -92% |
| humana | medicare advantage | $336.06 | ↓ -91% |
| humana | choicecare medicare advantage | $336.06 | ↓ -91% |
| united healthcare | medicare advantage | $336.06 | ↓ -91% |
| kaiser foundation | hp medicare | $336.06 | ↓ -91% |
| optum care network | medicare advantage | $336.06 | ↓ -91% |
| premera | medicare advantage hmo/ppo | $343.97 | ↓ -91% |
| multiplan | medicare advantage | $343.97 | ↓ -91% |
| signal health | medicare advantage | $343.97 | ↓ -91% |
| regence | medicare advantage | $354.76 | ↓ -91% |
| regence | uniform medical plan | $587.25 | ↓ -85% |
| premera | commercial | $694.95 | ↓ -82% |
| cigna | commercial | $1,085.68 | ↓ -73% |
| coventry - first health | commercial | $1,092.38 | ↓ -72% |
| regence | commercial | $1,112.20 | ↓ -72% |
| aetna | medicare advantage ppo | $1,408.20 | ↓ -64% |
| kaiser health plan | commercial | $1,458.60 | ↓ -63% |
| aetna | medicare advantage | $2,412.08 | ↓ -39% |
| aetna | commercial | $4,877.46 | ↑ +24% |
| cigna | local plus | $5,716.69 | ↑ +45% |
Visitor-reported prices
Comments
Exc tr-ext mal+marg tal >4 cm 11606 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $4,420.32 | $1,912.53 – $6,684.56 |
| Swedish Medical Center Cherry Hill | Seattle | $4,420.32 | $1,912.53 – $6,437.49 |
| Central Medical Center | Seattle | not published | not published |
| Swedish Issaquah | Issaquah | $4,420.32 | $1,917.90 – $6,684.56 |
| St. Michael Medical Center | Silverdale | $1,335.20 | $1,905.92 – $7,067.38 |
| St. Anne Hospital | Burien | $923.78 | $1,300.87 – $2,722.74 |
| St. Anthony Hospital | Gig Harbor | $920.13 | $2,178.19 – $4,080.13 |
| MultiCare Auburn Medical Center | Auburn | $3,368.00 | $1,226.78 – $7,928.07 |