Shuntogram nonvascular supervision & interpretation 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

$181.56

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.

$356.00

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.

$1.62 with aetna vs $262.87 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 →

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
aetna medicare advantage $1.62 ↓ -99%
first choice commercial $2.61 ↓ -99%
confluence health medicare advantage $37.37 ↓ -79%
multiplan medicare advantage $81.09 ↓ -55%
humana medicare advantage $92.73 ↓ -49%
humana choicecare medicare advantage $92.73 ↓ -49%
united healthcare medicare advantage $92.73 ↓ -49%
kaiser foundation hp medicare $92.73 ↓ -49%
optum care network medicare advantage $92.73 ↓ -49%
united healthcare commercial $93.25 ↓ -49%
signal health medicare advantage $96.24 ↓ -47%
premera medicare advantage hmo/ppo $96.24 ↓ -47%
regence medicare advantage $98.46 ↓ -46%
aetna medicare advantage ppo $119.31 ↓ -34%
aetna medicare advantage hmo $121.63 ↓ -33%
regence uniform medical plan $154.47 ↓ -15%
premera commercial $182.80 ↑ +1%
regence commercial $205.01 ↑ +13%
kaiser health plan commercial $214.67 ↑ +18%
aetna commercial $224.28 ↑ +24%
coventry - first health commercial $246.22 ↑ +36%
cigna commercial $262.87 ↑ +45%
cigna local plus $262.87 ↑ +45%

Visitor-reported prices

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Shuntogram nonvascular supervision & interpretation at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $424.80 $121.06 – $526.78
Swedish Medical Center Cherry Hill Seattle $424.80 $121.06 – $509.96
Central Medical Center Seattle $368.00 $107.00 – $107.00
Providence Sacred Heart Medical Center and Children's Hospital Spokane $788.20 $116.50 – $403.49
Swedish Issaquah Issaquah $424.80 $121.40 – $526.78
Providence Mount Carmel Hospital Colville $378.00 not published
Kadlec Regional Medical Center Richland $601.30 $116.50 – $438.23
Providence Holy Family Hospital Spokane $1,093.40 $116.50 – $376.53

All Washington hospitals for this procedure →