Surgical pathology level 5 gross & microscopic examination at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$557.43
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.
$1,093.00
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.
$274.28 with multiplan vs $1,324.84 with united healthcare — 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 |
|---|---|---|---|
| multiplan | medicare advantage | $274.28 | ↓ -51% |
| regence | medicare advantage | $333.06 | ↓ -40% |
| optum care network | medicare advantage | $391.83 | ↓ -30% |
| humana | medicare advantage | $391.83 | ↓ -30% |
| united healthcare | medicare advantage | $391.83 | ↓ -30% |
| premera | medicare advantage hmo/ppo | $391.83 | ↓ -30% |
| kaiser foundation | hp medicare | $391.83 | ↓ -30% |
| aetna | medicare advantage ppo | $403.59 | ↓ -28% |
| aetna | medicare advantage hmo | $411.42 | ↓ -26% |
| premera | commercial | $655.80 | ↑ +18% |
| kaiser health plan | commercial | $659.08 | ↑ +18% |
| aetna | commercial | $688.59 | ↑ +24% |
| first choice | commercial | $700.07 | ↑ +26% |
| regence | uniform medical plan | $765.10 | ↑ +37% |
| regence | commercial | $765.10 | ↑ +37% |
| cigna | local plus | $807.07 | ↑ +45% |
| cigna | commercial | $807.07 | ↑ +45% |
| coventry - first health | commercial | $874.40 | ↑ +57% |
| united healthcare | commercial | $1,324.84 | ↑ +138% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $252.48 | $400.35 – $1,332.03 |
| Swedish Medical Center Cherry Hill | Seattle | $252.48 | $400.35 – $1,289.52 |
| Central Medical Center | Seattle | $993.60 | $1,035.00 – $1,035.00 |
| Providence St Joseph Hospital | Chewelah | $291.20 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $492.10 | $399.43 – $1,020.28 |
| Swedish Issaquah | Issaquah | $252.48 | $400.35 – $1,332.03 |
| Providence Centralia Hospital | Centralia | $500.76 | $415.08 – $1,765.64 |
| Providence Mount Carmel Hospital | Colville | $254.80 | not published |