Otolaryngo binocular microscopy 92504 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

$36.21

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.

$71.00

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.

$0.86 with first choice vs $1,142.06 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 $0.86 ↓ -98%
multiplan medicare advantage $9.78 ↓ -73%
signal health medicare advantage $9.78 ↓ -73%
premera medicare advantage hmo/ppo $9.78 ↓ -73%
united healthcare commercial $9.83 ↓ -73%
humana medicare advantage $9.90 ↓ -73%
humana choicecare medicare advantage $9.90 ↓ -73%
united healthcare medicare advantage $9.90 ↓ -73%
kaiser foundation hp medicare $9.90 ↓ -73%
optum care network medicare advantage $9.90 ↓ -73%
regence medicare advantage $10.60 ↓ -71%
regence uniform medical plan $17.51 ↓ -52%
premera commercial $20.72 ↓ -43%
cigna commercial $32.45 ↓ -10%
kaiser health plan commercial $42.81 ↑ +18%
aetna commercial $44.73 ↑ +24%
regence commercial $49.70 ↑ +37%
cigna local plus $52.43 ↑ +45%
coventry - first health commercial $56.80 ↑ +57%
confluence health medicare advantage $147.01 ↑ +306%
aetna medicare advantage $285.25 ↑ +688%
aetna medicare advantage ppo $937.52 ↑ +2489%
aetna medicare advantage hmo $1,142.06 ↑ +3054%

Visitor-reported prices

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Otolaryngo binocular microscopy 92504 at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Auburn Medical Center Auburn $60.80 $77.09 – $83.26
MultiCare Good Samaritan Hospital Puyallup $60.80 $78.87 – $85.18
MultiCare Capital Medical Center Olympia $60.80 $82.96 – $122.91
MultiCare Covington Medical Center Covington $60.80 $77.09 – $83.26
MultiCare Mary Bridge Children's Hospital Tacoma $60.80 $78.51 – $278.71
MultiCare Allenmore Hospital Tacoma $60.80 $78.90 – $85.22
Providence St Luke's Rehabilitation Medical Center Spokane not published $30.97 – $30.97
Kadlec Regional Medical Center Richland not published $15.49 – $15.49

All Washington hospitals for this procedure →