Optokinetic nystagmus test 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

not published by hospital

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.

not published by hospital

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.

$0.57 with first choice vs $760.00 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 →

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
first choice commercial $0.57
united healthcare commercial $21.41
humana medicare advantage $21.96
humana choicecare medicare advantage $21.96
united healthcare medicare advantage $21.96
kaiser foundation hp medicare $21.96
optum care network medicare advantage $21.96
signal health medicare advantage $22.66
premera medicare advantage hmo/ppo $22.66
multiplan medicare advantage $22.66
regence medicare advantage $23.10
regence uniform medical plan $36.27
premera commercial $42.93
regence commercial $48.14
kaiser health plan commercial $55.23
confluence health medicare advantage $66.68
cigna commercial $70.70
aetna medicare advantage ppo $103.44
aetna medicare advantage hmo $760.00

Visitor-reported prices

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Optokinetic nystagmus test at other Washington hospitals

Hospital City Cash price Negotiated range
Kadlec Regional Medical Center Richland not published $24.85 – $24.85
MultiCare Valley Hospital Spokane Valley not published $98.27 – $104.05
MultiCare Auburn Medical Center Auburn not published $100.51 – $108.56
MultiCare Good Samaritan Hospital Puyallup not published $102.84 – $111.07
MultiCare Capital Medical Center Olympia not published $108.17 – $160.25
MultiCare Covington Medical Center Covington not published $100.51 – $108.56
MultiCare Mary Bridge Children's Hospital Tacoma not published $102.37 – $363.40
MultiCare Allenmore Hospital Tacoma not published $102.88 – $111.11

All Washington hospitals for this procedure →