Repair pm/icd lead dual at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$5,781.87
Cash price 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.
$11,337.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$11.07 with first choice vs $8,371.24 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 →
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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 ?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 ?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 | $11.07 | ↓ -100% |
| confluence health | medicare advantage | $61.56 | ↓ -99% |
| aetna | medicare advantage | $89.51 | ↓ -98% |
| aetna | medicare advantage hmo | $122.22 | ↓ -98% |
| aetna | medicare advantage ppo | $297.39 | ↓ -95% |
| united healthcare | commercial | $386.13 | ↓ -93% |
| humana | medicare advantage | $396.40 | ↓ -93% |
| humana | choicecare medicare advantage | $396.40 | ↓ -93% |
| united healthcare | medicare advantage | $396.40 | ↓ -93% |
| kaiser foundation | hp medicare | $396.40 | ↓ -93% |
| optum care network | medicare advantage | $396.40 | ↓ -93% |
| signal health | medicare advantage | $405.90 | ↓ -93% |
| multiplan | medicare advantage | $405.90 | ↓ -93% |
| premera | medicare advantage hmo/ppo | $405.90 | ↓ -93% |
| regence | medicare advantage | $416.61 | ↓ -93% |
| regence | uniform medical plan | $696.70 | ↓ -88% |
| premera | commercial | $824.47 | ↓ -86% |
| regence | commercial | $924.62 | ↓ -84% |
| coventry - first health | commercial | $1,115.86 | ↓ -81% |
| cigna | commercial | $1,274.98 | ↓ -78% |
| kaiser health plan | commercial | $1,792.94 | ↓ -69% |
| aetna | commercial | $7,142.31 | ↑ +24% |
| cigna | local plus | $8,371.24 | ↑ +45% |
Visitor-reported prices
Comments
Repair pm/icd lead dual at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $8,626.56 | $4,327.36 – $14,024.85 |
| Swedish Medical Center Cherry Hill | Seattle | $8,626.56 | $4,327.36 – $13,577.25 |
| Central Medical Center | Seattle | $9,351.20 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $4,933.60 | $4,164.26 – $10,598.04 |
| Swedish Issaquah | Issaquah | $8,626.56 | $4,339.50 – $14,024.85 |
| Providence St Mary Medical Center | Walla Walla | $3,549.00 | $3,479.71 – $13,547.41 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $2,875.08 | $4,255.66 – $11,637.64 |
| MultiCare Valley Hospital | Spokane Valley | $5,498.40 | $1,152.66 – $14,911.64 |