Screen/visual acuity/bilat/quant 99173 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

$7.14

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.

$14.00

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.

$0.09 with first choice vs $1,257.90 with confluence 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
first choice commercial $0.09 ↓ -99%
united healthcare commercial $3.39 ↓ -53%
regence medicare advantage $3.65 ↓ -49%
united healthcare medicare advantage $3.83 ↓ -46%
kaiser foundation hp medicare $3.83 ↓ -46%
optum care network medicare advantage $3.83 ↓ -46%
humana choicecare medicare advantage $3.83 ↓ -46%
humana medicare advantage $3.83 ↓ -46%
signal health medicare advantage $3.94 ↓ -45%
multiplan medicare advantage $3.94 ↓ -45%
premera medicare advantage hmo/ppo $3.94 ↓ -45%
regence uniform medical plan $5.63 ↓ -21%
premera commercial $6.66 ↓ -7%
coventry - first health commercial $6.86 ↓ -4%
regence commercial $7.47 ↑ +5%
kaiser health plan commercial $8.44 ↑ +18%
aetna commercial $8.82 ↑ +24%
cigna commercial $10.34 ↑ +45%
cigna local plus $10.34 ↑ +45%
aetna medicare advantage $324.26 ↑ +4441%
aetna medicare advantage ppo $470.98 ↑ +6496%
aetna medicare advantage hmo $555.18 ↑ +7676%
confluence health medicare advantage $1,257.90 ↑ +17518%

Visitor-reported prices

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Screen/visual acuity/bilat/quant 99173 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Regional Medical Center Everett - Colby Campus Everett $4.68 not published
Kadlec Regional Medical Center Richland not published $5.17 – $5.17
MultiCare Valley Hospital Spokane Valley not published $5.99 – $5.99
MultiCare Yakima Memorial Hospital Yakima not published $4.33 – $4.50
MultiCare Auburn Medical Center Auburn not published $3.64 – $4.16
MultiCare Good Samaritan Hospital Puyallup not published not published
MultiCare Capital Medical Center Olympia not published $3.87 – $5.00
MultiCare Covington Medical Center Covington not published $3.64 – $4.16

All Washington hospitals for this procedure →