Ot evaluation high complexity patient/family at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$190.74
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.
?
What you pay up front if you don't use insurance.
$374.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.83 with first choice vs $814.73 with confluence health — 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 →
?
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 | $2.83 | ↓ -99% |
| multiplan | medicare advantage | $79.41 | ↓ -58% |
| regence | medicare advantage | $96.42 | ↓ -49% |
| united healthcare | commercial | $108.25 | ↓ -43% |
| cigna | commercial | $113.41 | ↓ -41% |
| kaiser foundation | hp medicare | $113.44 | ↓ -41% |
| united healthcare | medicare advantage | $113.44 | ↓ -41% |
| humana | medicare advantage | $113.44 | ↓ -41% |
| premera | medicare advantage hmo/ppo | $113.44 | ↓ -41% |
| optum care network | medicare advantage | $113.44 | ↓ -41% |
| regence | uniform medical plan | $113.44 | ↓ -41% |
| humana | choicecare medicare advantage | $113.44 | ↓ -41% |
| regence | commercial | $113.44 | ↓ -41% |
| signal health | medicare advantage | $113.89 | ↓ -40% |
| premera | commercial | $113.89 | ↓ -40% |
| aetna | medicare advantage ppo | $116.84 | ↓ -39% |
| aetna | medicare advantage hmo | $119.11 | ↓ -38% |
| kaiser health plan | commercial | $225.52 | ↑ +18% |
| aetna | commercial | $235.62 | ↑ +24% |
| cigna | local plus | $276.16 | ↑ +45% |
| coventry - first health | commercial | $299.20 | ↑ +57% |
| confluence health | medicare advantage | $814.73 | ↑ +327% |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $334.08 | $82.97 – $315.07 |
| Swedish Medical Center Cherry Hill | Seattle | $334.08 | $82.97 – $278.25 |
| Central Medical Center | Seattle | $396.00 | not published |
| Providence St Luke's Rehabilitation Medical Center | Spokane | $307.97 | $103.71 – $114.08 |
| Providence St Joseph Hospital | Chewelah | $193.20 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $382.90 | $103.71 – $263.94 |
| Swedish Issaquah | Issaquah | $334.08 | $82.97 – $230.24 |
| Providence Centralia Hospital | Centralia | $233.48 | $103.71 – $215.18 |