Abdominal paracentesis w/image guidance 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

$1,476.96

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.

$2,896.00

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 $2,316.80 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
confluence health medicare advantage $5.02 ↓ -100%
aetna medicare advantage ppo $5.67 ↓ -100%
first choice commercial $9.07 ↓ -99%
aetna medicare advantage $13.19 ↓ -99%
aetna medicare advantage hmo $29.68 ↓ -98%
united healthcare commercial $108.53 ↓ -93%
humana medicare advantage $110.48 ↓ -93%
humana choicecare medicare advantage $110.48 ↓ -93%
united healthcare medicare advantage $110.48 ↓ -93%
kaiser foundation hp medicare $110.48 ↓ -93%
optum care network medicare advantage $110.48 ↓ -93%
signal health medicare advantage $112.48 ↓ -92%
multiplan medicare advantage $112.48 ↓ -92%
premera medicare advantage hmo/ppo $112.48 ↓ -92%
regence medicare advantage $117.10 ↓ -92%
regence uniform medical plan $195.12 ↓ -87%
premera commercial $230.91 ↓ -84%
cigna commercial $358.37 ↓ -76%
kaiser health plan commercial $511.21 ↓ -65%
regence commercial $734.55 ↓ -50%
aetna commercial $1,824.48 ↑ +24%
cigna local plus $2,138.41 ↑ +45%
coventry - first health commercial $2,316.80 ↑ +57%

Visitor-reported prices

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Abdominal paracentesis w/image guidance at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $2,480.64 $1,050.28 – $3,693.82
Swedish Medical Center Cherry Hill Seattle $2,480.64 $1,050.28 – $3,575.94
Central Medical Center Seattle not published not published
Providence St Joseph Hospital Chewelah $800.10 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $2,401.70 $1,010.69 – $2,572.22
Swedish Issaquah Issaquah $2,480.64 $1,053.23 – $3,693.82
Providence Centralia Hospital Centralia $1,761.76 $1,050.28 – $4,597.63
Providence Mount Carmel Hospital Colville $2,263.80 not published

All Washington hospitals for this procedure →