Insitu hybridization (fish) 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

$358.53

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.

$703.00

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.

$130.67 with multiplan vs $631.14 with united healthcare — 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
multiplan medicare advantage $130.67 ↓ -64%
regence medicare advantage $158.66 ↓ -56%
kaiser foundation hp medicare $186.66 ↓ -48%
humana medicare advantage $186.66 ↓ -48%
premera medicare advantage hmo/ppo $186.66 ↓ -48%
united healthcare medicare advantage $186.66 ↓ -48%
optum care network medicare advantage $186.66 ↓ -48%
aetna medicare advantage ppo $192.26 ↓ -46%
aetna medicare advantage hmo $196.00 ↓ -45%
premera commercial $421.80 ↑ +18%
kaiser health plan commercial $423.91 ↑ +18%
regence uniform medical plan $440.16 ↑ +23%
aetna commercial $442.89 ↑ +24%
first choice commercial $450.27 ↑ +26%
regence commercial $492.10 ↑ +37%
cigna local plus $519.10 ↑ +45%
cigna commercial $519.10 ↑ +45%
coventry - first health commercial $562.40 ↑ +57%
united healthcare commercial $631.14 ↑ +76%

Visitor-reported prices

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Insitu hybridization (fish) at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $1,343.20 $1,039.00 – $1,039.00
Swedish Medical Center - First Hill Campus Seattle not published $197.29 – $1,332.03
Swedish Medical Center Cherry Hill Seattle not published $197.29 – $1,289.52
Swedish Edmonds Hospital Edmonds $680.16 $194.02 – $1,275.35
Providence St Mary Medical Center Walla Walla $304.50 $151.35 – $351.22
Providence Regional Medical Center Everett - Colby Campus Everett $297.44 $194.02 – $1,190.32
MultiCare Valley Hospital Spokane Valley $458.80 $27.41 – $1,442.29
St. Michael Medical Center Silverdale $451.88 $526.96 – $1,527.53

All Washington hospitals for this procedure →