Serial casting application 97139app 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

$66.30

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.

$130.00

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.

$0.49 with first choice vs $494.28 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 $0.49 ↓ -99%
cigna commercial $20.09 ↓ -70%
united healthcare commercial $20.69 ↓ -69%
optum care network medicare advantage $21.23 ↓ -68%
humana medicare advantage $21.23 ↓ -68%
kaiser foundation hp medicare $21.23 ↓ -68%
united healthcare medicare advantage $21.23 ↓ -68%
humana choicecare medicare advantage $21.23 ↓ -68%
signal health medicare advantage $21.84 ↓ -67%
multiplan medicare advantage $21.84 ↓ -67%
premera medicare advantage hmo/ppo $21.84 ↓ -67%
regence medicare advantage $22.32 ↓ -66%
regence uniform medical plan $35.02 ↓ -47%
premera commercial $41.45 ↓ -37%
regence commercial $46.48 ↓ -30%
kaiser health plan commercial $52.19 ↓ -21%
aetna commercial $81.90 ↑ +24%
cigna local plus $95.99 ↑ +45%
coventry - first health commercial $104.00 ↑ +57%
confluence health medicare advantage $430.54 ↑ +549%
aetna medicare advantage ppo $494.28 ↑ +646%

Visitor-reported prices

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Serial casting application 97139app at other Washington hospitals

Hospital City Cash price Negotiated range
Providence Sacred Heart Medical Center and Children's Hospital Spokane $60.90 $98.95 – $98.95
Providence Mount Carmel Hospital Colville $45.50 not published
Providence Holy Family Hospital Spokane $50.40 $85.01 – $85.01
Providence Centralia Hospital Centralia not published $174.03 – $174.03
Providence St Mary Medical Center Walla Walla not published $39.37 – $39.37
Kadlec Regional Medical Center Richland not published $22.28 – $22.28
Providence Regional Medical Center Everett - Colby Campus Everett not published $31.01 – $31.01
Providence St Peter Hospital Olympia not published $95.11 – $95.11

All Washington hospitals for this procedure →