Ortho elbow without jnt cstm w/fit&adj at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
not published by hospital
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.
not published by hospital
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.
$216.32 with multiplan vs $1,096.24 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 →
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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 |
|---|---|---|---|
| multiplan | medicare advantage | $216.32 | — |
| regence | medicare advantage | $262.68 | — |
| regence | uniform medical plan | $301.79 | — |
| regence | commercial | $301.79 | — |
| kaiser foundation | hp medicare | $309.03 | — |
| united healthcare | medicare advantage | $309.03 | — |
| humana | medicare advantage | $309.03 | — |
| optum care network | medicare advantage | $309.03 | — |
| premera | medicare advantage hmo/ppo | $309.03 | — |
| aetna | medicare advantage ppo | $318.30 | — |
| aetna | medicare advantage hmo | $324.48 | — |
| united healthcare | commercial | $370.84 | — |
| premera | commercial | $802.76 | — |
| kaiser health plan | commercial | $871.24 | — |
| cigna | commercial | $965.94 | — |
| cigna | local plus | $1,096.24 | — |
Visitor-reported prices
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Ortho elbow without jnt cstm w/fit&adj at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $476.75 | $315.21 – $957.61 |
| Swedish Medical Center Cherry Hill | Seattle | $476.75 | $315.21 – $770.88 |
| Providence St Joseph Hospital | Chewelah | $364.00 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $393.40 | $315.21 – $802.21 |
| Swedish Edmonds Hospital | Edmonds | $476.75 | $315.21 – $1,027.84 |
| Providence St Mary Medical Center | Walla Walla | $206.50 | not published |
| Kadlec Regional Medical Center | Richland | $258.30 | $315.21 – $583.14 |
| Providence Holy Family Hospital | Spokane | $401.80 | not published |