Sex transformation m to f 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

not published by hospital

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.

not published by hospital

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.

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The hospital's undiscounted list price — almost no one pays this.

$37.73 with confluence health vs $18,711.00 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.

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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 $37.73
aetna medicare advantage ppo $81.42
first choice commercial $109.77
aetna medicare advantage hmo $636.81
multiplan medicare advantage $3,764.02
humana medicare advantage $4,217.50
humana choicecare medicare advantage $4,217.50
united healthcare medicare advantage $4,217.50
kaiser foundation hp medicare $4,217.50
optum care network medicare advantage $4,217.50
united healthcare commercial $4,260.97
premera medicare advantage hmo/ppo $4,358.35
signal health medicare advantage $4,358.35
regence medicare advantage $4,570.60
regence uniform medical plan $7,554.83
premera commercial $8,940.41
regence commercial $10,026.40
cigna commercial $13,106.32
kaiser health plan commercial $13,729.20
cigna local plus $18,212.34
aetna commercial $18,711.00

Visitor-reported prices

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Sex transformation m to f at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $11,520.00 not published
Swedish Medical Center - First Hill Campus Seattle not published $5,792.79 – $20,802.40
Swedish Medical Center Cherry Hill Seattle not published $5,792.79 – $20,033.52
Providence St Luke's Rehabilitation Medical Center Spokane not published $5,574.45 – $6,131.90
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $5,419.00 – $14,186.98
Swedish Issaquah Issaquah not published $5,809.04 – $20,802.40
Providence Centralia Hospital Centralia not published $5,792.79 – $24,988.51
Swedish Edmonds Hospital Edmonds not published $4,912.00 – $20,674.25

All Washington hospitals for this procedure →