Stent/tib/peroneal/unilat/initial 37230 at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$25,231.74
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.
$49,474.00
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.
$52.33 with aetna vs $39,579.20 with coventry - first health — 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 | $52.33 | ↓ -100% |
| aetna | medicare advantage ppo | $174.81 | ↓ -99% |
| confluence health | medicare advantage | $237.37 | ↓ -99% |
| aetna | medicare advantage | $274.83 | ↓ -99% |
| first choice | commercial | $300.50 | ↓ -99% |
| united healthcare | commercial | $675.78 | ↓ -97% |
| humana | medicare advantage | $686.84 | ↓ -97% |
| humana | choicecare medicare advantage | $686.84 | ↓ -97% |
| united healthcare | medicare advantage | $686.84 | ↓ -97% |
| kaiser foundation | hp medicare | $686.84 | ↓ -97% |
| optum care network | medicare advantage | $686.84 | ↓ -97% |
| signal health | medicare advantage | $702.72 | ↓ -97% |
| multiplan | medicare advantage | $702.72 | ↓ -97% |
| premera | medicare advantage hmo/ppo | $702.72 | ↓ -97% |
| regence | medicare advantage | $729.13 | ↓ -97% |
| regence | uniform medical plan | $1,259.56 | ↓ -95% |
| premera | commercial | $1,490.56 | ↓ -94% |
| cigna | commercial | $2,231.37 | ↓ -91% |
| kaiser health plan | commercial | $3,519.25 | ↓ -86% |
| aetna | commercial | $14,500.00 | ↓ -43% |
| regence | commercial | $22,327.00 | ↓ -12% |
| cigna | local plus | $36,531.60 | ↑ +45% |
| coventry - first health | commercial | $39,579.20 | ↑ +57% |
Visitor-reported prices
Comments
Stent/tib/peroneal/unilat/initial 37230 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $31,353.60 | $7,277.00 – $77,627.65 |
| Swedish Medical Center Cherry Hill | Seattle | $31,353.60 | $7,277.00 – $74,758.46 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $19,209.40 | $5,419.00 – $49,413.91 |
| Swedish Issaquah | Issaquah | $31,353.60 | $7,277.00 – $77,627.65 |
| Providence St Mary Medical Center | Walla Walla | $19,500.60 | $15,537.80 – $78,926.74 |
| Kadlec Regional Medical Center | Richland | $27,034.70 | $1,166.36 – $59,137.29 |
| Providence Holy Family Hospital | Spokane | $20,683.60 | $2,985.00 – $65,649.70 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $16,098.16 | $7,246.00 – $60,412.49 |