Laparoscopy excise lesions 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

$10,200.51

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.

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

$20,001.00

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.

$9.44 with confluence health vs $14,768.74 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
confluence health medicare advantage $9.44 ↓ -100%
first choice commercial $20.98 ↓ -100%
aetna medicare advantage hmo $71.47 ↓ -99%
aetna medicare advantage ppo $294.79 ↓ -97%
aetna medicare advantage $381.52 ↓ -96%
united healthcare commercial $741.79 ↓ -93%
humana medicare advantage $754.31 ↓ -93%
humana choicecare medicare advantage $754.31 ↓ -93%
united healthcare medicare advantage $754.31 ↓ -93%
kaiser foundation hp medicare $754.31 ↓ -93%
optum care network medicare advantage $754.31 ↓ -93%
signal health medicare advantage $776.42 ↓ -92%
multiplan medicare advantage $776.42 ↓ -92%
premera medicare advantage hmo/ppo $776.42 ↓ -92%
regence medicare advantage $800.34 ↓ -92%
regence uniform medical plan $1,335.23 ↓ -87%
premera commercial $1,580.11 ↓ -85%
regence commercial $1,772.05 ↓ -83%
coventry - first health commercial $1,831.43 ↓ -82%
cigna commercial $2,449.32 ↓ -76%
kaiser health plan commercial $3,268.17 ↓ -68%
aetna commercial $12,600.63 ↑ +24%
cigna local plus $14,768.74 ↑ +45%

Visitor-reported prices

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Laparoscopy excise lesions at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $13,360.00 not published
Swedish Medical Center - First Hill Campus Seattle not published $7,000.66 – $23,540.17
Swedish Medical Center Cherry Hill Seattle not published $7,000.66 – $22,670.10
Providence St Luke's Rehabilitation Medical Center Spokane not published $6,736.80 – $7,410.48
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $6,736.80 – $17,145.15
Swedish Issaquah Issaquah not published $7,020.30 – $23,540.17
Providence Centralia Hospital Centralia not published $7,000.66 – $28,277.20
Swedish Edmonds Hospital Edmonds not published $3,304.00 – $23,395.16

All Washington hospitals for this procedure →