X-ray tibia/fibula 2 views (both sides) 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

$177.48

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.

$348.00

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.

$0.92 with first choice vs $776.26 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 $0.92 ↓ -99%
aetna medicare advantage ppo $2.44 ↓ -99%
aetna medicare advantage $15.43 ↓ -91%
united healthcare commercial $35.97 ↓ -80%
kaiser foundation hp medicare $36.34 ↓ -80%
united healthcare medicare advantage $36.34 ↓ -80%
humana choicecare medicare advantage $36.34 ↓ -80%
humana medicare advantage $36.34 ↓ -80%
optum care network medicare advantage $36.34 ↓ -80%
signal health medicare advantage $37.39 ↓ -79%
multiplan medicare advantage $37.39 ↓ -79%
premera medicare advantage hmo/ppo $37.39 ↓ -79%
regence medicare advantage $38.81 ↓ -78%
regence uniform medical plan $59.41 ↓ -67%
premera commercial $70.31 ↓ -60%
coventry - first health commercial $73.38 ↓ -59%
regence commercial $78.85 ↓ -56%
kaiser health plan commercial $97.80 ↓ -45%
aetna medicare advantage hmo $100.70 ↓ -43%
cigna commercial $118.76 ↓ -33%
aetna commercial $208.75 ↑ +18%
cigna local plus $256.96 ↑ +45%
confluence health medicare advantage $776.26 ↑ +337%

Visitor-reported prices

visitor-reported
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X-ray tibia/fibula 2 views (both sides) at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $264.48 $100.77 – $375.11
Swedish Medical Center Cherry Hill Seattle $264.48 $100.77 – $363.14
Central Medical Center Seattle $304.00 $89.00 – $89.00
Providence St Luke's Rehabilitation Medical Center Spokane $161.91 $27.47 – $106.67
Providence St Joseph Hospital Chewelah $345.10 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $535.50 $96.98 – $287.32
Swedish Issaquah Issaquah $264.48 $99.58 – $375.11
Providence Centralia Hospital Centralia $276.64 $100.77 – $497.22

All Washington hospitals for this procedure →