Team conf w/pat by hc prof at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$75.48
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.
$148.00
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.
$1.23 with first choice vs $1,675.37 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 |
|---|---|---|---|
| first choice | commercial | $1.23 | ↓ -98% |
| united healthcare | commercial | $41.11 | ↓ -46% |
| humana | medicare advantage | $41.40 | ↓ -45% |
| united healthcare | medicare advantage | $41.40 | ↓ -45% |
| kaiser foundation | hp medicare | $41.40 | ↓ -45% |
| optum care network | medicare advantage | $41.40 | ↓ -45% |
| humana | choicecare medicare advantage | $41.40 | ↓ -45% |
| signal health | medicare advantage | $42.88 | ↓ -43% |
| multiplan | medicare advantage | $42.88 | ↓ -43% |
| premera | medicare advantage hmo/ppo | $42.88 | ↓ -43% |
| regence | medicare advantage | $44.35 | ↓ -41% |
| regence | uniform medical plan | $73.80 | ↓ -2% |
| premera | commercial | $87.33 | ↑ +16% |
| kaiser health plan | commercial | $89.24 | ↑ +18% |
| aetna | commercial | $93.24 | ↑ +24% |
| regence | commercial | $100.43 | ↑ +33% |
| cigna | commercial | $101.36 | ↑ +34% |
| cigna | local plus | $109.28 | ↑ +45% |
| coventry - first health | commercial | $112.60 | ↑ +49% |
| aetna | medicare advantage ppo | $347.57 | ↑ +360% |
| aetna | medicare advantage hmo | $803.34 | ↑ +964% |
| confluence health | medicare advantage | $1,381.66 | ↑ +1730% |
| aetna | medicare advantage | $1,675.37 | ↑ +2120% |
Visitor-reported prices
Comments
Team conf w/pat by hc prof at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Mount Carmel Hospital | Colville | $70.70 | not published |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $44.72 | not published |
| St. Michael Medical Center | Silverdale | $76.34 | $108.98 – $155.68 |
| St. Anne Hospital | Burien | $52.82 | $74.38 – $155.68 |
| St. Anthony Hospital | Gig Harbor | $52.61 | $124.54 – $129.73 |
| St. Joseph Medical Center | Tacoma | $57.29 | $124.54 – $129.73 |
| St. Elizabeth Hospital | Enumclaw | $61.13 | $29.41 – $155.68 |
| St. Francis Hospital | Federal Way | $54.29 | $124.54 – $129.73 |