Shoe metatarsal bar between 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.

$76.42 with multiplan vs $387.27 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.

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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
multiplan medicare advantage $76.42
regence medicare advantage $92.79
regence uniform medical plan $106.61
regence commercial $106.61
kaiser foundation hp medicare $109.17
united healthcare medicare advantage $109.17
humana medicare advantage $109.17
optum care network medicare advantage $109.17
premera medicare advantage hmo/ppo $109.17
aetna medicare advantage ppo $112.45
aetna medicare advantage hmo $114.63
united healthcare commercial $131.00
premera commercial $283.58
kaiser health plan commercial $307.78
cigna commercial $341.23
cigna local plus $387.27

Visitor-reported prices

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Shoe metatarsal bar between at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $111.35 – $338.28
Swedish Medical Center Cherry Hill Seattle not published $111.35 – $272.31
Providence St Luke's Rehabilitation Medical Center Spokane not published $111.35 – $122.48
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $111.35 – $283.39
Swedish Issaquah Issaquah not published $111.35 – $247.20
Providence Centralia Hospital Centralia not published $111.35 – $210.59
Swedish Edmonds Hospital Edmonds not published $111.35 – $363.08
Kadlec Regional Medical Center Richland not published $111.35 – $206.00

All Washington hospitals for this procedure →