Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr 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

$4,773.09

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.

Full explanation →

What you pay up front if you don't use insurance.

$9,359.00

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.

$20.68 with first choice vs $6,910.69 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 $20.68 ↓ -100%
aetna medicare advantage ppo $54.98 ↓ -99%
aetna medicare advantage $90.85 ↓ -98%
aetna medicare advantage hmo $177.53 ↓ -96%
united healthcare commercial $785.49 ↓ -84%
humana medicare advantage $795.76 ↓ -83%
optum care network medicare advantage $795.76 ↓ -83%
kaiser foundation hp medicare $795.76 ↓ -83%
united healthcare medicare advantage $795.76 ↓ -83%
humana choicecare medicare advantage $795.76 ↓ -83%
signal health medicare advantage $818.82 ↓ -83%
multiplan medicare advantage $818.82 ↓ -83%
premera medicare advantage hmo/ppo $818.82 ↓ -83%
confluence health medicare advantage $833.03 ↓ -83%
regence medicare advantage $847.50 ↓ -82%
regence uniform medical plan $1,333.98 ↓ -72%
premera commercial $1,578.63 ↓ -67%
coventry - first health commercial $1,582.44 ↓ -67%
regence commercial $1,770.39 ↓ -63%
kaiser health plan commercial $2,503.22 ↓ -48%
cigna commercial $2,593.64 ↓ -46%
aetna commercial $5,896.17 ↑ +24%
cigna local plus $6,910.69 ↑ +45%

Visitor-reported prices

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Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $8,669.76 $3,788.94 – $13,331.38
Swedish Medical Center Cherry Hill Seattle $8,669.76 $3,788.94 – $12,838.64
Central Medical Center Seattle not published not published
Providence St Joseph Hospital Chewelah $1,534.40 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $4,424.00 $3,646.14 – $9,279.41
Swedish Issaquah Issaquah $8,669.76 $3,799.57 – $13,331.38
Providence Centralia Hospital Centralia $6,876.48 $3,788.94 – $16,014.08
Providence Mount Carmel Hospital Colville $1,836.80 not published

All Washington hospitals for this procedure →