Abd paracentesis/w/o image guide 49082 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

$1,566.72

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.

$3,072.00

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.

$5.02 with confluence health vs $2,457.60 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
confluence health medicare advantage $5.02 ↓ -100%
aetna medicare advantage ppo $6.14 ↓ -100%
first choice commercial $6.47 ↓ -100%
aetna medicare advantage $15.21 ↓ -99%
united healthcare commercial $75.18 ↓ -95%
humana medicare advantage $76.79 ↓ -95%
humana choicecare medicare advantage $76.79 ↓ -95%
united healthcare medicare advantage $76.79 ↓ -95%
kaiser foundation hp medicare $76.79 ↓ -95%
optum care network medicare advantage $76.79 ↓ -95%
multiplan medicare advantage $78.90 ↓ -95%
signal health medicare advantage $78.90 ↓ -95%
premera medicare advantage hmo/ppo $78.90 ↓ -95%
regence medicare advantage $81.12 ↓ -95%
regence uniform medical plan $135.09 ↓ -91%
premera commercial $159.86 ↓ -90%
aetna medicare advantage hmo $191.84 ↓ -88%
cigna commercial $248.25 ↓ -84%
kaiser health plan commercial $341.03 ↓ -78%
regence commercial $529.54 ↓ -66%
aetna commercial $1,935.36 ↑ +24%
cigna local plus $2,268.36 ↑ +45%
coventry - first health commercial $2,457.60 ↑ +57%

Visitor-reported prices

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Abd paracentesis/w/o image guide 49082 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $2,381.28 $1,050.28 – $3,693.82
Swedish Medical Center Cherry Hill Seattle $2,381.28 $1,050.28 – $3,575.94
Central Medical Center Seattle not published not published
Providence St Joseph Hospital Chewelah $1,662.50 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,952.30 $1,010.69 – $2,572.22
Swedish Issaquah Issaquah $2,381.28 $1,053.23 – $3,693.82
Providence Centralia Hospital Centralia $1,761.76 $1,050.28 – $4,597.63
Providence Mount Carmel Hospital Colville $2,012.50 not published

All Washington hospitals for this procedure →