Tib/per revasc w/ather add-on 37233 at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$10,131.15
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.
$19,865.00
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.
$25.45 with aetna vs $15,892.00 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 | $25.45 | ↓ -100% |
| first choice | commercial | $34.97 | ↓ -100% |
| aetna | medicare advantage ppo | $174.81 | ↓ -98% |
| united healthcare | commercial | $314.78 | ↓ -97% |
| optum care network | medicare advantage | $318.62 | ↓ -97% |
| humana | medicare advantage | $318.62 | ↓ -97% |
| kaiser foundation | hp medicare | $318.62 | ↓ -97% |
| humana | choicecare medicare advantage | $318.62 | ↓ -97% |
| united healthcare | medicare advantage | $318.62 | ↓ -97% |
| signal health | medicare advantage | $326.55 | ↓ -97% |
| multiplan | medicare advantage | $326.55 | ↓ -97% |
| premera | medicare advantage hmo/ppo | $326.55 | ↓ -97% |
| regence | medicare advantage | $339.63 | ↓ -97% |
| confluence health | medicare advantage | $356.52 | ↓ -96% |
| regence | uniform medical plan | $586.00 | ↓ -94% |
| premera | commercial | $693.47 | ↓ -93% |
| cigna | commercial | $1,039.38 | ↓ -90% |
| aetna | medicare advantage | $1,160.00 | ↓ -89% |
| kaiser health plan | commercial | $1,666.38 | ↓ -84% |
| regence | commercial | $2,601.22 | ↓ -74% |
| aetna | commercial | $4,497.00 | ↓ -56% |
| cigna | local plus | $14,668.32 | ↑ +45% |
| coventry - first health | commercial | $15,892.00 | ↑ +57% |
Visitor-reported prices
Comments
Tib/per revasc w/ather add-on 37233 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $24,792.00 | not published |
| Swedish Medical Center Cherry Hill | Seattle | $24,792.00 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $14,704.90 | $13,212.00 – $13,212.00 |
| Swedish Issaquah | Issaquah | $24,792.00 | $9,339.00 – $9,339.00 |
| Providence St Mary Medical Center | Walla Walla | $10,103.80 | $6,522.00 – $6,522.00 |
| Kadlec Regional Medical Center | Richland | $17,140.20 | $542.16 – $542.16 |
| Providence Holy Family Hospital | Spokane | $9,743.30 | $3,379.00 – $3,379.00 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $4,336.80 | $1,985.00 – $1,985.00 |