Ghs clsd red med malleolus fx w manip 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

$1,923.21

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.

$3,771.00

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.

$14.19 with first choice vs $2,784.51 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 $14.19 ↓ -99%
confluence health medicare advantage $27.32 ↓ -99%
aetna medicare advantage $30.96 ↓ -98%
aetna medicare advantage hmo $77.89 ↓ -96%
aetna medicare advantage ppo $101.31 ↓ -95%
united healthcare commercial $478.05 ↓ -75%
humana medicare advantage $494.69 ↓ -74%
humana choicecare medicare advantage $494.69 ↓ -74%
united healthcare medicare advantage $494.69 ↓ -74%
kaiser foundation hp medicare $494.69 ↓ -74%
optum care network medicare advantage $494.69 ↓ -74%
signal health medicare advantage $508.71 ↓ -74%
multiplan medicare advantage $508.71 ↓ -74%
premera medicare advantage hmo/ppo $508.71 ↓ -74%
regence medicare advantage $515.79 ↓ -73%
regence uniform medical plan $834.91 ↓ -57%
premera commercial $988.03 ↓ -49%
coventry - first health commercial $1,191.29 ↓ -38%
regence commercial $1,228.40 ↓ -36%
cigna commercial $1,578.48 ↓ -18%
kaiser health plan commercial $1,801.86 ↓ -6%
aetna commercial $2,375.73 ↑ +24%
cigna local plus $2,784.51 ↑ +45%

Visitor-reported prices

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Ghs clsd red med malleolus fx w manip at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $4,356.96 $1,862.04 – $6,600.75
Swedish Medical Center Cherry Hill Seattle $4,356.96 $1,862.04 – $6,356.78
Central Medical Center Seattle not published not published
Providence St Joseph Hospital Chewelah $1,925.00 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $3,418.80 $1,791.86 – $4,560.28
Swedish Issaquah Issaquah $4,356.96 $1,867.26 – $6,600.75
Providence Centralia Hospital Centralia $4,128.28 $1,862.04 – $7,929.03
Providence Mount Carmel Hospital Colville $2,047.50 not published

All Washington hospitals for this procedure →