Family therapy without pt 50min 90846 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

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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.

$177.00

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.

$2.84 with first choice vs $359.61 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 $2.84 ↓ -97%
aetna medicare advantage hmo $7.52 ↓ -92%
confluence health medicare advantage $31.60 ↓ -65%
united healthcare commercial $95.78 ↑ +6%
signal health medicare advantage $102.94 ↑ +14%
multiplan medicare advantage $102.94 ↑ +14%
premera medicare advantage hmo/ppo $102.94 ↑ +14%
regence medicare advantage $103.34 ↑ +14%
aetna medicare advantage ppo $103.38 ↑ +15%
humana medicare advantage $104.20 ↑ +15%
united healthcare medicare advantage $104.20 ↑ +15%
humana choicecare medicare advantage $104.20 ↑ +15%
kaiser foundation hp medicare $104.20 ↑ +15%
optum care network medicare advantage $104.20 ↑ +15%
premera commercial $106.20 ↑ +18%
kaiser health plan commercial $106.73 ↑ +18%
aetna commercial $111.51 ↑ +24%
regence uniform medical plan $123.90 ↑ +37%
regence commercial $123.90 ↑ +37%
cigna commercial $130.70 ↑ +45%
cigna local plus $130.70 ↑ +45%
coventry - first health commercial $141.60 ↑ +57%
aetna medicare advantage $359.61 ↑ +298%

Visitor-reported prices

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Family therapy without pt 50min 90846 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $335.52 $205.54 – $624.42
Swedish Medical Center Cherry Hill Seattle $335.52 $205.54 – $597.69
Providence St Luke's Rehabilitation Medical Center Spokane $333.90 $197.79 – $217.57
Providence St Joseph Hospital Chewelah $317.80 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $520.10 $197.79 – $503.38
Swedish Issaquah Issaquah $335.52 $206.11 – $617.39
Providence Holy Family Hospital Spokane $415.80 $197.79 – $519.20
Providence Regional Medical Center Everett - Colby Campus Everett $255.84 $202.13 – $551.71

All Washington hospitals for this procedure →