Excision graft extremity 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

$4,516.05

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.

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What you pay up front if you don't use insurance.

$8,855.00

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.

$14.78 with aetna vs $6,538.53 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
aetna medicare advantage hmo $14.78 ↓ -100%
first choice commercial $16.55 ↓ -100%
aetna medicare advantage ppo $18.64 ↓ -100%
aetna medicare advantage $30.05 ↓ -99%
confluence health medicare advantage $63.30 ↓ -99%
united healthcare commercial $566.76 ↓ -87%
humana medicare advantage $572.86 ↓ -87%
humana choicecare medicare advantage $572.86 ↓ -87%
united healthcare medicare advantage $572.86 ↓ -87%
kaiser foundation hp medicare $572.86 ↓ -87%
optum care network medicare advantage $572.86 ↓ -87%
signal health medicare advantage $590.78 ↓ -87%
multiplan medicare advantage $590.78 ↓ -87%
premera medicare advantage hmo/ppo $590.78 ↓ -87%
regence medicare advantage $611.50 ↓ -86%
regence uniform medical plan $1,037.54 ↓ -77%
premera commercial $1,227.83 ↓ -73%
regence commercial $1,376.97 ↓ -70%
coventry - first health commercial $1,560.76 ↓ -65%
cigna commercial $1,871.39 ↓ -59%
kaiser health plan commercial $2,693.91 ↓ -40%
aetna commercial $5,578.65 ↑ +24%
cigna local plus $6,538.53 ↑ +45%

Visitor-reported prices

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Excision graft extremity at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $3,656.33 – $13,496.13
Swedish Medical Center Cherry Hill Seattle not published $3,656.33 – $12,997.30
Central Medical Center Seattle not published not published
Providence St Luke's Rehabilitation Medical Center Spokane not published $3,518.52 – $3,870.37
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $3,518.52 – $8,954.64
Swedish Issaquah Issaquah not published $3,666.59 – $13,496.13
Providence Centralia Hospital Centralia not published $3,656.33 – $16,211.99
Swedish Edmonds Hospital Edmonds not published $3,595.75 – $13,413.00

All Washington hospitals for this procedure →