Proton trmt intermediate 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

$1,993.08

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.

$3,908.00

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.

$17.87 with confluence health vs $3,126.40 with coventry - first health — 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
confluence health medicare advantage $17.87 ↓ -99%
first choice commercial $31.51 ↓ -98%
aetna medicare advantage hmo $123.86 ↓ -94%
aetna medicare advantage ppo $244.60 ↓ -88%
multiplan medicare advantage $972.57 ↓ -51%
regence medicare advantage $1,180.98 ↓ -41%
united healthcare commercial $1,188.42 ↓ -40%
kaiser foundation hp medicare $1,277.56 ↓ -36%
humana choicecare medicare advantage $1,277.56 ↓ -36%
humana medicare advantage $1,277.56 ↓ -36%
optum care network medicare advantage $1,277.56 ↓ -36%
united healthcare medicare advantage $1,277.56 ↓ -36%
signal health medicare advantage $1,310.25 ↓ -34%
premera medicare advantage hmo/ppo $1,310.25 ↓ -34%
regence uniform medical plan $1,909.97 ↓ -4%
premera commercial $2,260.27 ↑ +13%
kaiser health plan commercial $2,356.52 ↑ +18%
aetna commercial $2,462.04 ↑ +24%
regence commercial $2,534.82 ↑ +27%
cigna commercial $2,885.67 ↑ +45%
cigna local plus $2,885.67 ↑ +45%
coventry - first health commercial $3,126.40 ↑ +57%

Visitor-reported prices

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Proton trmt intermediate at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $1,447.19 – $5,859.77
Swedish Medical Center Cherry Hill Seattle not published $1,447.19 – $5,672.76
Central Medical Center Seattle not published $1,276.00 – $1,276.00
Providence St Luke's Rehabilitation Medical Center Spokane not published $1,392.64 – $1,531.91
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $1,392.64 – $4,488.34
Swedish Issaquah Issaquah not published $1,451.25 – $5,859.77
Providence Centralia Hospital Centralia not published $1,447.19 – $7,767.31
Swedish Edmonds Hospital Edmonds not published $1,423.21 – $5,610.42

All Washington hospitals for this procedure →