Speech evaluation complex 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

$370.26

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.

$726.00

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.

$3.21 with first choice vs $536.08 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
first choice commercial $3.21 ↓ -99%
confluence health medicare advantage $7.52 ↓ -98%
aetna medicare advantage hmo $20.71 ↓ -94%
aetna medicare advantage $41.25 ↓ -89%
united healthcare commercial $121.69 ↓ -67%
aetna medicare advantage ppo $126.44 ↓ -66%
humana medicare advantage $126.92 ↓ -66%
humana choicecare medicare advantage $126.92 ↓ -66%
united healthcare medicare advantage $126.92 ↓ -66%
kaiser foundation hp medicare $126.92 ↓ -66%
optum care network medicare advantage $126.92 ↓ -66%
signal health medicare advantage $127.64 ↓ -66%
multiplan medicare advantage $127.64 ↓ -66%
premera medicare advantage hmo/ppo $127.64 ↓ -66%
regence medicare advantage $131.29 ↓ -65%
regence uniform medical plan $203.25 ↓ -45%
premera commercial $240.53 ↓ -35%
coventry - first health commercial $255.06 ↓ -31%
regence commercial $269.75 ↓ -27%
kaiser health plan commercial $335.01 ↓ -10%
cigna commercial $401.81 ↑ +9%
aetna commercial $457.38 ↑ +24%
cigna local plus $536.08 ↑ +45%

Visitor-reported prices

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Speech evaluation complex at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $790.08 $276.30 – $1,095.29
Swedish Medical Center Cherry Hill Seattle $790.08 $276.30 – $1,060.33
Central Medical Center Seattle $880.00 $242.00 – $242.00
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,659.00 $265.88 – $838.94
Swedish Issaquah Issaquah $790.08 $277.07 – $1,095.29
Providence Mount Carmel Hospital Colville $698.60 not published
Providence Holy Family Hospital Spokane $2,405.90 $265.88 – $839.23
St. Michael Medical Center Silverdale $653.79 $933.24 – $1,333.20

All Washington hospitals for this procedure →