Oth resp proc, indiv at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$75.48
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.
$148.00
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.
$0.29 with first choice vs $90.37 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 |
|---|---|---|---|
| first choice | commercial | $0.29 | ↓ -100% |
| cigna | commercial | $9.23 | ↓ -88% |
| aetna | commercial | $11.79 | ↓ -84% |
| united healthcare | commercial | $11.98 | ↓ -84% |
| kaiser foundation | hp medicare | $12.11 | ↓ -84% |
| united healthcare | medicare advantage | $12.11 | ↓ -84% |
| humana | choicecare medicare advantage | $12.11 | ↓ -84% |
| humana | medicare advantage | $12.11 | ↓ -84% |
| optum care network | medicare advantage | $12.11 | ↓ -84% |
| signal health | medicare advantage | $12.47 | ↓ -83% |
| multiplan | medicare advantage | $12.47 | ↓ -83% |
| premera | medicare advantage hmo/ppo | $12.47 | ↓ -83% |
| aetna | medicare advantage | $12.78 | ↓ -83% |
| regence | medicare advantage | $12.92 | ↓ -83% |
| regence | uniform medical plan | $19.39 | ↓ -74% |
| premera | commercial | $22.94 | ↓ -70% |
| regence | commercial | $25.73 | ↓ -66% |
| aetna | medicare advantage ppo | $27.48 | ↓ -64% |
| aetna | medicare advantage hmo | $28.02 | ↓ -63% |
| coventry - first health | commercial | $29.53 | ↓ -61% |
| kaiser health plan | commercial | $30.07 | ↓ -60% |
| confluence health | medicare advantage | $82.43 | ↑ +9% |
| cigna | local plus | $90.37 | ↑ +20% |
Visitor-reported prices
Comments
Oth resp proc, indiv at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $576.96 | $33.49 – $108.05 |
| Swedish Medical Center Cherry Hill | Seattle | $576.96 | $33.49 – $104.60 |
| Providence St Joseph Hospital | Chewelah | $29.40 | not published |
| Swedish Issaquah | Issaquah | $576.96 | $33.59 – $108.05 |
| Providence St Mary Medical Center | Walla Walla | $137.90 | $26.38 – $59.63 |
| Kadlec Regional Medical Center | Richland | $112.00 | $17.21 – $89.89 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $206.44 | $32.94 – $96.56 |
| MultiCare Valley Hospital | Spokane Valley | $67.60 | $32.53 – $111.07 |