Incision of breast lesion at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$2,876.91
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.
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What you pay up front if you don't use insurance.
$5,641.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$14.26 with first choice vs $4,165.31 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 →
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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 ?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 | $14.26 | ↓ -100% |
| aetna | medicare advantage hmo | $222.59 | ↓ -92% |
| united healthcare | commercial | $335.68 | ↓ -88% |
| optum care network | medicare advantage | $344.38 | ↓ -88% |
| humana | medicare advantage | $344.38 | ↓ -88% |
| kaiser foundation | hp medicare | $344.38 | ↓ -88% |
| humana | choicecare medicare advantage | $344.38 | ↓ -88% |
| united healthcare | medicare advantage | $344.38 | ↓ -88% |
| signal health | medicare advantage | $352.69 | ↓ -88% |
| multiplan | medicare advantage | $352.69 | ↓ -88% |
| premera | medicare advantage hmo/ppo | $352.69 | ↓ -88% |
| regence | medicare advantage | $362.18 | ↓ -87% |
| regence | uniform medical plan | $589.13 | ↓ -80% |
| premera | commercial | $697.17 | ↓ -76% |
| cigna | commercial | $1,108.39 | ↓ -61% |
| coventry - first health | commercial | $1,114.99 | ↓ -61% |
| confluence health | medicare advantage | $1,139.58 | ↓ -60% |
| regence | commercial | $1,176.11 | ↓ -59% |
| kaiser health plan | commercial | $1,306.42 | ↓ -55% |
| aetna | medicare advantage ppo | $1,346.35 | ↓ -53% |
| aetna | medicare advantage | $2,019.55 | ↓ -30% |
| aetna | commercial | $3,553.83 | ↑ +24% |
| cigna | local plus | $4,165.31 | ↑ +45% |
Visitor-reported prices
Comments
Incision of breast lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $3,539.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $1,912.53 – $6,684.56 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $1,912.53 – $6,437.49 |
| Providence St Joseph Hospital | Chewelah | $1,834.70 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $5,494.30 | $1,840.45 – $4,683.94 |
| Providence Centralia Hospital | Centralia | $3,463.72 | $1,912.53 – $8,029.71 |
| Providence Mount Carmel Hospital | Colville | $2,197.30 | not published |
| Providence St Mary Medical Center | Walla Walla | $3,152.10 | $1,436.62 – $3,404.83 |