Very long chain fatty acids 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

$64.26

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.

$126.00

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.

$13.83 with multiplan vs $100.80 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
multiplan medicare advantage $13.83 ↓ -78%
regence medicare advantage $16.79 ↓ -74%
humana medicare advantage $19.75 ↓ -69%
united healthcare medicare advantage $19.75 ↓ -69%
kaiser foundation hp medicare $19.75 ↓ -69%
optum care network medicare advantage $19.75 ↓ -69%
premera medicare advantage hmo/ppo $19.75 ↓ -69%
regence commercial $19.75 ↓ -69%
regence uniform medical plan $19.75 ↓ -69%
aetna medicare advantage ppo $20.34 ↓ -68%
aetna medicare advantage hmo $20.74 ↓ -68%
united healthcare commercial $23.70 ↓ -63%
kaiser health plan commercial $31.60 ↓ -51%
premera commercial $34.56 ↓ -46%
cigna commercial $61.73 ↓ -4%
cigna local plus $70.06 ↑ +9%
aetna commercial $79.38 ↑ +24%
first choice commercial $80.70 ↑ +26%
coventry - first health commercial $100.80 ↑ +57%

Visitor-reported prices

visitor-reported
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Very long chain fatty acids at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $90.72 $17.78 – $92.83
Swedish Medical Center Cherry Hill Seattle $90.72 $17.78 – $89.86
Central Medical Center Seattle $88.00 $15.00 – $15.00
Providence Sacred Heart Medical Center and Children's Hospital Spokane $166.60 $19.75 – $71.10
Swedish Issaquah Issaquah $90.72 $17.78 – $92.83
Swedish Edmonds Hospital Edmonds $85.92 $19.75 – $88.88
Providence St Mary Medical Center Walla Walla $267.40 $19.75 – $36.54
Kadlec Regional Medical Center Richland $241.50 $19.75 – $77.22

All Washington hospitals for this procedure →