Exc tr-ext mal+marg tal >4 cm 11606 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

$3,948.42

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.

$7,742.00

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.

$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 →

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 $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

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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

All Washington hospitals for this procedure →