Ext ecg>48hr<7d rev&interpj 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

not published by hospital

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.

not published by hospital

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.

$0.71 with first choice vs $1,959.87 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 $0.71
humana choicecare medicare advantage $23.73
humana medicare advantage $23.73
united healthcare medicare advantage $23.73
kaiser foundation hp medicare $23.73
optum care network medicare advantage $23.73
united healthcare commercial $23.97
multiplan medicare advantage $24.43
signal health medicare advantage $24.43
premera medicare advantage hmo/ppo $24.43
regence medicare advantage $25.86
regence uniform medical plan $43.15
premera commercial $51.07
regence commercial $57.27
confluence health medicare advantage $68.66
cigna commercial $79.14
aetna medicare advantage ppo $1,959.87

Visitor-reported prices

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Ext ecg>48hr<7d rev&interpj at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $331.37 – $331.37
Swedish Issaquah Issaquah not published $95.87 – $95.87
Providence Centralia Hospital Centralia not published $331.37 – $331.37
Swedish Edmonds Hospital Edmonds not published $183.43 – $183.43
Providence St Mary Medical Center Walla Walla not published $331.37 – $331.37
Kadlec Regional Medical Center Richland not published $40.73 – $40.73
Providence Holy Family Hospital Spokane not published $239.16 – $239.16
Providence Regional Medical Center Everett - Colby Campus Everett not published $312.46 – $312.46

All Washington hospitals for this procedure →