Treatment fx radial distal open w/internal fixation left (restricted method ii cah) 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

$10,115.34

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.

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

$19,834.00

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.

$21.81 with first choice vs $14,645.43 with cigna — 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.

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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 $21.81 ↓ -100%
aetna medicare advantage $59.03 ↓ -99%
confluence health medicare advantage $73.16 ↓ -99%
aetna medicare advantage hmo $110.40 ↓ -99%
aetna medicare advantage ppo $261.89 ↓ -97%
united healthcare commercial $797.97 ↓ -92%
humana medicare advantage $825.34 ↓ -92%
humana choicecare medicare advantage $825.34 ↓ -92%
united healthcare medicare advantage $825.34 ↓ -92%
kaiser foundation hp medicare $825.34 ↓ -92%
optum care network medicare advantage $825.34 ↓ -92%
signal health medicare advantage $838.63 ↓ -92%
multiplan medicare advantage $838.63 ↓ -92%
premera medicare advantage hmo/ppo $838.63 ↓ -92%
regence medicare advantage $860.96 ↓ -91%
regence uniform medical plan $1,399.02 ↓ -86%
premera commercial $1,655.60 ↓ -84%
coventry - first health commercial $1,812.50 ↓ -82%
regence commercial $1,856.71 ↓ -82%
cigna commercial $2,634.82 ↓ -74%
kaiser health plan commercial $3,142.55 ↓ -69%
aetna commercial $12,495.42 ↑ +24%
cigna local plus $14,645.43 ↑ +45%

Visitor-reported prices

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Treatment fx radial distal open w/internal fixation left (restricted method ii cah) at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $10,587.84 $7,277.00 – $29,132.10
Swedish Medical Center Cherry Hill Seattle $10,587.84 $7,277.00 – $28,055.35
Central Medical Center Seattle not published not published
Providence St Joseph Hospital Chewelah $9,897.30 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $15,660.40 $8,085.92 – $20,578.67
Swedish Issaquah Issaquah $10,587.84 $7,277.00 – $29,132.10
Providence Centralia Hospital Centralia $15,280.72 $8,402.62 – $34,994.41
Providence Mount Carmel Hospital Colville $11,575.90 not published

All Washington hospitals for this procedure →