Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) 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

$4,697.61

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.

$9,211.00

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.

$17.57 with first choice vs $6,801.40 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 →

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 $17.57 ↓ -100%
aetna medicare advantage $59.38 ↓ -99%
confluence health medicare advantage $75.87 ↓ -98%
aetna medicare advantage hmo $322.09 ↓ -93%
united healthcare commercial $464.03 ↓ -90%
humana medicare advantage $482.06 ↓ -90%
humana choicecare medicare advantage $482.06 ↓ -90%
united healthcare medicare advantage $482.06 ↓ -90%
kaiser foundation hp medicare $482.06 ↓ -90%
optum care network medicare advantage $482.06 ↓ -90%
multiplan medicare advantage $491.38 ↓ -90%
signal health medicare advantage $491.38 ↓ -90%
premera medicare advantage hmo/ppo $491.38 ↓ -90%
regence medicare advantage $500.66 ↓ -89%
aetna medicare advantage ppo $511.40 ↓ -89%
regence uniform medical plan $816.77 ↓ -83%
premera commercial $966.57 ↓ -79%
regence commercial $1,459.97 ↓ -69%
cigna commercial $1,532.18 ↓ -67%
coventry - first health commercial $1,643.24 ↓ -65%
kaiser health plan commercial $1,943.80 ↓ -59%
aetna commercial $5,802.93 ↑ +24%
cigna local plus $6,801.40 ↑ +45%

Visitor-reported prices

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Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $3,788.94 – $13,331.38
Swedish Medical Center Cherry Hill Seattle not published $3,788.94 – $12,838.64
Central Medical Center Seattle not published not published
MultiCare Yakima Memorial Hospital Yakima $3,599.60 $3,903.45 – $10,074.23
Providence St Luke's Rehabilitation Medical Center Spokane not published $3,646.14 – $4,010.75
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $3,646.14 – $9,279.41
Swedish Issaquah Issaquah not published $3,799.57 – $13,331.38
Providence Centralia Hospital Centralia not published $3,788.94 – $16,014.08

All Washington hospitals for this procedure →