Nasopharyngoscopy w/endoscope 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

$302.94

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.

Full explanation →

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

$594.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.45 with first choice vs $438.61 with cigna — same scan, same building. Share

Negotiated rates by payer
?

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 $3.45 ↓ -99%
confluence health medicare advantage $21.97 ↓ -93%
united healthcare commercial $39.91 ↓ -87%
humana medicare advantage $41.02 ↓ -86%
humana choicecare medicare advantage $41.02 ↓ -86%
united healthcare medicare advantage $41.02 ↓ -86%
kaiser foundation hp medicare $41.02 ↓ -86%
optum care network medicare advantage $41.02 ↓ -86%
premera medicare advantage hmo/ppo $41.81 ↓ -86%
signal health medicare advantage $41.81 ↓ -86%
multiplan medicare advantage $41.81 ↓ -86%
regence medicare advantage $43.06 ↓ -86%
regence uniform medical plan $70.04 ↓ -77%
premera commercial $82.89 ↓ -73%
cigna commercial $131.76 ↓ -57%
kaiser health plan commercial $166.33 ↓ -45%
aetna medicare advantage ppo $217.82 ↓ -28%
aetna medicare advantage hmo $222.05 ↓ -27%
regence commercial $293.82 ↓ -3%
aetna medicare advantage $317.78 ↑ +5%
aetna commercial $374.22 ↑ +24%
coventry - first health commercial $414.83 ↑ +37%
cigna local plus $438.61 ↑ +45%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Nasopharyngoscopy w/endoscope at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $426.72 $231.14 – $735.79
Swedish Medical Center Cherry Hill Seattle $426.72 $231.14 – $712.30
Central Medical Center Seattle not published not published
Providence St Joseph Hospital Chewelah $126.70 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $283.50 $222.43 – $566.09
Swedish Issaquah Issaquah $426.72 $231.79 – $735.79
Providence Centralia Hospital Centralia $305.24 $231.14 – $915.82
Providence Mount Carmel Hospital Colville $140.70 not published

All Washington hospitals for this procedure →