Family therapy with patient 50 min 90847 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

$90.27

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.

Full explanation →

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

$177.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2.94 with first choice vs $378.83 with aetna — same scan, same building. Share

Negotiated rates by payer
?

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 $2.94 ↓ -97%
confluence health medicare advantage $16.24 ↓ -82%
aetna medicare advantage ppo $51.89 ↓ -43%
united healthcare commercial $99.92 ↑ +11%
premera commercial $106.20 ↑ +18%
kaiser health plan commercial $106.73 ↑ +18%
signal health medicare advantage $107.57 ↑ +19%
multiplan medicare advantage $107.57 ↑ +19%
premera medicare advantage hmo/ppo $107.57 ↑ +19%
regence medicare advantage $107.81 ↑ +19%
united healthcare medicare advantage $108.70 ↑ +20%
kaiser foundation hp medicare $108.70 ↑ +20%
optum care network medicare advantage $108.70 ↑ +20%
humana choicecare medicare advantage $108.70 ↑ +20%
humana medicare advantage $108.70 ↑ +20%
aetna commercial $111.51 ↑ +24%
regence commercial $123.90 ↑ +37%
regence uniform medical plan $123.90 ↑ +37%
cigna local plus $130.70 ↑ +45%
cigna commercial $130.70 ↑ +45%
coventry - first health commercial $141.60 ↑ +57%
aetna medicare advantage hmo $183.77 ↑ +104%
aetna medicare advantage $378.83 ↑ +320%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Family therapy with patient 50 min 90847 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $389.28 $205.54 – $624.42
Swedish Medical Center Cherry Hill Seattle $389.28 $205.54 – $597.69
Providence St Luke's Rehabilitation Medical Center Spokane $333.90 $197.79 – $217.57
Providence Sacred Heart Medical Center and Children's Hospital Spokane $258.30 $197.79 – $503.38
Swedish Issaquah Issaquah $389.28 $206.11 – $617.39
Providence Holy Family Hospital Spokane $206.50 $197.79 – $519.20
Providence Regional Medical Center Everett - Colby Campus Everett $255.84 $202.13 – $551.71
MultiCare Yakima Memorial Hospital Yakima $210.80 $211.75 – $496.24

All Washington hospitals for this procedure →