Tomosynthesis breast diagnostic left 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

$43.35

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.

$85.00

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.

Full explanation →

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

$1.59 with first choice vs $417.28 with confluence 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
first choice commercial $1.59 ↓ -96%
premera commercial $23.55 ↓ -46%
regence commercial $23.55 ↓ -46%
regence uniform medical plan $23.55 ↓ -46%
multiplan medicare advantage $33.81 ↓ -22%
cigna commercial $39.28 ↓ -9%
regence medicare advantage $41.06 ↓ -5%
united healthcare medicare advantage $48.30 ↑ +11%
humana medicare advantage $48.30 ↑ +11%
kaiser foundation hp medicare $48.30 ↑ +11%
optum care network medicare advantage $48.30 ↑ +11%
humana choicecare medicare advantage $48.30 ↑ +11%
premera medicare advantage hmo/ppo $48.30 ↑ +11%
aetna medicare advantage ppo $49.75 ↑ +15%
aetna medicare advantage hmo $50.72 ↑ +17%
kaiser health plan commercial $51.26 ↑ +18%
united healthcare commercial $53.13 ↑ +23%
aetna commercial $53.55 ↑ +24%
signal health medicare advantage $53.77 ↑ +24%
cigna local plus $62.76 ↑ +45%
coventry - first health commercial $68.00 ↑ +57%
confluence health medicare advantage $417.28 ↑ +863%

Visitor-reported prices

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Tomosynthesis breast diagnostic left at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $145.44 $10.70 – $48.00
Swedish Medical Center Cherry Hill Seattle $145.44 $10.70 – $75.79
Central Medical Center Seattle $56.00 $16.00 – $16.00
Providence St Joseph Hospital Chewelah $46.20 not published
Swedish Issaquah Issaquah $145.44 $10.70 – $48.00
Providence Centralia Hospital Centralia $156.52 $13.37 – $105.98
Providence St Mary Medical Center Walla Walla $41.30 $13.37 – $24.73
Kadlec Regional Medical Center Richland $45.50 $13.37 – $46.74

All Washington hospitals for this procedure →