Special physics consult at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$480.93
Cash price 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.
$943.00
Gross charge 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.
$0.41 with aetna vs $594.09 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 →
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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 ?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 ?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 hmo | $0.41 | ↓ -100% |
| first choice | commercial | $3.75 | ↓ -99% |
| confluence health | medicare advantage | $17.46 | ↓ -96% |
| multiplan | medicare advantage | $101.24 | ↓ -79% |
| regence | medicare advantage | $122.93 | ↓ -74% |
| humana | medicare advantage | $144.63 | ↓ -70% |
| united healthcare | medicare advantage | $144.63 | ↓ -70% |
| kaiser foundation | hp medicare | $144.63 | ↓ -70% |
| optum care network | medicare advantage | $144.63 | ↓ -70% |
| premera | medicare advantage hmo/ppo | $144.63 | ↓ -70% |
| aetna | medicare advantage ppo | $148.97 | ↓ -69% |
| united healthcare | commercial | $160.25 | ↓ -67% |
| signal health | medicare advantage | $174.42 | ↓ -64% |
| humana | choicecare medicare advantage | $175.68 | ↓ -63% |
| aetna | medicare advantage | $183.39 | ↓ -62% |
| regence | uniform medical plan | $259.54 | ↓ -46% |
| premera | commercial | $307.14 | ↓ -36% |
| coventry - first health | commercial | $317.42 | ↓ -34% |
| regence | commercial | $344.45 | ↓ -28% |
| kaiser health plan | commercial | $366.87 | ↓ -24% |
| cigna | commercial | $431.06 | ↓ -10% |
| cigna | local plus | $489.85 | ↑ +2% |
| aetna | commercial | $594.09 | ↑ +24% |
Visitor-reported prices
Comments
Special physics consult at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $559.20 | $155.64 – $594.97 |
| Swedish Medical Center Cherry Hill | Seattle | $559.20 | $155.64 – $575.98 |
| Central Medical Center | Seattle | not published | $133.00 – $133.00 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $366.80 | $149.78 – $455.72 |
| Swedish Issaquah | Issaquah | $559.20 | $156.08 – $594.97 |
| Providence Centralia Hospital | Centralia | $569.40 | $155.64 – $788.66 |
| Providence St Mary Medical Center | Walla Walla | $917.70 | $120.23 – $277.09 |
| Kadlec Regional Medical Center | Richland | $799.40 | $149.78 – $494.97 |