Removal of impacted wax md 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

$41.82

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.

$82.00

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.

$1.49 with first choice vs $2,452.45 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 $1.49 ↓ -96%
humana choicecare medicare advantage $34.23 ↓ -18%
humana medicare advantage $34.23 ↓ -18%
united healthcare medicare advantage $34.23 ↓ -18%
kaiser foundation hp medicare $34.23 ↓ -18%
optum care network medicare advantage $34.23 ↓ -18%
united healthcare commercial $34.46 ↓ -18%
signal health medicare advantage $35.51 ↓ -15%
multiplan medicare advantage $35.51 ↓ -15%
premera medicare advantage hmo/ppo $35.51 ↓ -15%
regence medicare advantage $37.18 ↓ -11%
cigna commercial $46.42 ↑ +11%
premera commercial $49.20 ↑ +18%
kaiser health plan commercial $49.45 ↑ +18%
aetna commercial $51.66 ↑ +24%
regence commercial $57.40 ↑ +37%
regence uniform medical plan $57.40 ↑ +37%
cigna local plus $60.55 ↑ +45%
coventry - first health commercial $65.60 ↑ +57%
aetna medicare advantage $871.16 ↑ +1983%
confluence health medicare advantage $1,167.62 ↑ +2692%
aetna medicare advantage hmo $1,921.06 ↑ +4494%
aetna medicare advantage ppo $2,452.45 ↑ +5764%

Visitor-reported prices

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Removal of impacted wax md at other Washington hospitals

Hospital City Cash price Negotiated range
MultiCare Auburn Medical Center Auburn $72.80 $77.09 – $83.26
MultiCare Good Samaritan Hospital Puyallup $72.80 $78.87 – $85.18
MultiCare Capital Medical Center Olympia $72.80 $82.96 – $122.91
MultiCare Covington Medical Center Covington $72.80 $77.09 – $83.26
MultiCare Mary Bridge Children's Hospital Tacoma $72.80 $78.51 – $278.71
MultiCare Allenmore Hospital Tacoma $72.80 $78.90 – $85.22
Providence St Luke's Rehabilitation Medical Center Spokane not published $109.25 – $109.25
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $33,603.00 – $33,603.00

All Washington hospitals for this procedure →