X-ray thoracic spine 3 views 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

$300.90

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.

$590.00

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.

$1.14 with first choice vs $392.34 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.

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 $1.14 ↓ -100%
aetna medicare advantage $32.93 ↓ -89%
united healthcare commercial $44.57 ↓ -85%
united healthcare medicare advantage $45.01 ↓ -85%
kaiser foundation hp medicare $45.01 ↓ -85%
optum care network medicare advantage $45.01 ↓ -85%
humana choicecare medicare advantage $45.01 ↓ -85%
humana medicare advantage $45.01 ↓ -85%
signal health medicare advantage $46.73 ↓ -84%
multiplan medicare advantage $46.73 ↓ -84%
premera medicare advantage hmo/ppo $46.73 ↓ -84%
regence medicare advantage $48.08 ↓ -84%
aetna medicare advantage hmo $52.55 ↓ -83%
aetna medicare advantage ppo $60.54 ↓ -80%
regence uniform medical plan $73.80 ↓ -75%
premera commercial $87.33 ↓ -71%
regence commercial $97.94 ↓ -67%
coventry - first health commercial $101.90 ↓ -66%
kaiser health plan commercial $120.37 ↓ -60%
cigna commercial $147.15 ↓ -51%
aetna commercial $249.46 ↓ -17%
confluence health medicare advantage $305.55 ↑ +2%
cigna local plus $392.34 ↑ +30%

Visitor-reported prices

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X-ray thoracic spine 3 views at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $488.16 $121.06 – $526.78
Swedish Medical Center Cherry Hill Seattle $488.16 $121.06 – $509.96
Central Medical Center Seattle $368.00 $107.00 – $107.00
Providence St Luke's Rehabilitation Medical Center Spokane $682.92 $35.58 – $128.15
Providence St Joseph Hospital Chewelah $564.20 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $584.50 $116.50 – $403.49
Swedish Issaquah Issaquah $488.16 $119.05 – $526.78
Providence Centralia Hospital Centralia $421.20 $121.06 – $698.26

All Washington hospitals for this procedure →