Tbs techl calculation only 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

$134.13

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.

Full explanation →

What you pay up front if you don't use insurance.

$263.00

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.

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The hospital's undiscounted list price — almost no one pays this.

$3.25 with confluence health vs $210.40 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 →

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
confluence health medicare advantage $3.25 ↓ -98%
humana choicecare medicare advantage $32.24 ↓ -76%
humana medicare advantage $32.24 ↓ -76%
united healthcare medicare advantage $32.24 ↓ -76%
kaiser foundation hp medicare $32.24 ↓ -76%
optum care network medicare advantage $32.24 ↓ -76%
united healthcare commercial $32.67 ↓ -76%
signal health medicare advantage $33.99 ↓ -75%
multiplan medicare advantage $33.99 ↓ -75%
premera medicare advantage hmo/ppo $33.99 ↓ -75%
regence medicare advantage $35.25 ↓ -74%
regence uniform medical plan $52.53 ↓ -61%
premera commercial $62.17 ↓ -54%
regence commercial $69.72 ↓ -48%
aetna medicare advantage ppo $98.78 ↓ -26%
aetna medicare advantage hmo $100.70 ↓ -25%
cigna commercial $107.87 ↓ -20%
kaiser health plan commercial $158.59 ↑ +18%
aetna commercial $165.69 ↑ +24%
first choice commercial $168.45 ↑ +26%
cigna local plus $194.20 ↑ +45%
coventry - first health commercial $210.40 ↑ +57%

Visitor-reported prices

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Tbs techl calculation only at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle not published $100.77 – $306.15
Swedish Medical Center Cherry Hill Seattle not published $100.77 – $235.81
Central Medical Center Seattle not published $89.00 – $89.00
Providence Sacred Heart Medical Center and Children's Hospital Spokane $249.20 $96.98 – $246.80
Providence Holy Family Hospital Spokane $356.30 $96.98 – $311.23
Providence Regional Medical Center Everett - Colby Campus Everett $138.84 $99.10 – $330.09
Swedish Issaquah Issaquah not published $101.06 – $224.35
Providence Centralia Hospital Centralia not published $100.77 – $424.40

All Washington hospitals for this procedure →