Signal avg ecg w or without ecg 93278 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

$84.15

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.

$165.00

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.

$0.87 with first choice vs $477.95 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 $0.87 ↓ -99%
confluence health medicare advantage $21.13 ↓ -75%
united healthcare commercial $31.96 ↓ -62%
regence medicare advantage $34.49 ↓ -59%
humana medicare advantage $35.82 ↓ -57%
humana choicecare medicare advantage $35.82 ↓ -57%
united healthcare medicare advantage $35.82 ↓ -57%
kaiser foundation hp medicare $35.82 ↓ -57%
optum care network medicare advantage $35.82 ↓ -57%
multiplan medicare advantage $36.86 ↓ -56%
premera medicare advantage hmo/ppo $36.86 ↓ -56%
signal health medicare advantage $36.86 ↓ -56%
regence uniform medical plan $53.78 ↓ -36%
premera commercial $63.65 ↓ -24%
aetna medicare advantage ppo $66.64 ↓ -21%
aetna medicare advantage hmo $67.93 ↓ -19%
regence commercial $71.38 ↓ -15%
coventry - first health commercial $98.61 ↑ +17%
kaiser health plan commercial $99.49 ↑ +18%
aetna commercial $103.95 ↑ +24%
cigna commercial $105.54 ↑ +25%
cigna local plus $121.84 ↑ +45%
aetna medicare advantage $477.95 ↑ +468%

Visitor-reported prices

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Signal avg ecg w or without ecg 93278 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $178.08 $68.31 – $258.55
Swedish Medical Center Cherry Hill Seattle $178.08 $68.31 – $250.30
Central Medical Center Seattle $133.60 not published
Swedish Issaquah Issaquah $178.08 $68.50 – $258.55
Providence Regional Medical Center Everett - Colby Campus Everett $163.80 $67.18 – $231.04
Providence St Luke's Rehabilitation Medical Center Spokane not published $40.22 – $72.31
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $65.74 – $198.04
Providence Centralia Hospital Centralia not published $68.31 – $342.71

All Washington hospitals for this procedure →