Nerobehav stas exam phys/qhp f2f ea l hr at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$102.00
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.
$200.00
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.
$2.36 with first choice vs $2,226.05 with aetna — 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 | $2.36 | ↓ -98% |
| humana | choicecare medicare advantage | $67.48 | ↓ -34% |
| humana | medicare advantage | $67.48 | ↓ -34% |
| kaiser foundation | hp medicare | $67.48 | ↓ -34% |
| optum care network | medicare advantage | $67.48 | ↓ -34% |
| united healthcare | medicare advantage | $67.48 | ↓ -34% |
| united healthcare | commercial | $67.50 | ↓ -34% |
| signal health | medicare advantage | $69.44 | ↓ -32% |
| multiplan | medicare advantage | $69.44 | ↓ -32% |
| premera | medicare advantage hmo/ppo | $69.44 | ↓ -32% |
| regence | medicare advantage | $72.83 | ↓ -29% |
| premera | commercial | $120.00 | ↑ +18% |
| kaiser health plan | commercial | $120.60 | ↑ +18% |
| regence | uniform medical plan | $123.83 | ↑ +21% |
| aetna | commercial | $126.00 | ↑ +24% |
| regence | commercial | $140.00 | ↑ +37% |
| cigna | commercial | $147.68 | ↑ +45% |
| cigna | local plus | $147.68 | ↑ +45% |
| coventry - first health | commercial | $160.00 | ↑ +57% |
| confluence health | medicare advantage | $1,818.56 | ↑ +1683% |
| aetna | medicare advantage ppo | $2,226.05 | ↑ +2082% |
Visitor-reported prices
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Nerobehav stas exam phys/qhp f2f ea l hr at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $175.70 | not published |
| Kadlec Regional Medical Center | Richland | not published | $118.75 – $118.75 |
| MultiCare Valley Hospital | Spokane Valley | not published | $392.78 – $415.89 |
| MultiCare Auburn Medical Center | Auburn | not published | $401.76 – $433.90 |
| MultiCare Good Samaritan Hospital | Puyallup | not published | $411.05 – $443.93 |
| MultiCare Capital Medical Center | Olympia | not published | $432.36 – $640.53 |
| MultiCare Covington Medical Center | Covington | not published | $401.76 – $433.90 |
| MultiCare Mary Bridge Children's Hospital | Tacoma | not published | $409.16 – $1,452.53 |