Cadd pump refill 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

$443.70

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.

$870.00

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.

$4.38 with first choice vs $1,625.19 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 $4.38 ↓ -99%
aetna medicare advantage $108.57 ↓ -76%
humana medicare advantage $137.39 ↓ -69%
optum care network medicare advantage $137.39 ↓ -69%
kaiser foundation hp medicare $137.39 ↓ -69%
united healthcare medicare advantage $137.39 ↓ -69%
humana choicecare medicare advantage $137.39 ↓ -69%
united healthcare commercial $145.16 ↓ -67%
signal health medicare advantage $148.98 ↓ -66%
multiplan medicare advantage $148.98 ↓ -66%
premera medicare advantage hmo/ppo $148.98 ↓ -66%
regence medicare advantage $156.62 ↓ -65%
regence uniform medical plan $235.78 ↓ -47%
aetna medicare advantage ppo $236.38 ↓ -47%
aetna medicare advantage hmo $240.97 ↓ -46%
premera commercial $279.02 ↓ -37%
regence commercial $312.91 ↓ -29%
coventry - first health commercial $350.69 ↓ -21%
kaiser health plan commercial $446.12 ↑ +1%
cigna commercial $479.31 ↑ +8%
aetna commercial $548.10 ↑ +24%
cigna local plus $642.41 ↑ +45%
confluence health medicare advantage $1,625.19 ↑ +266%

Visitor-reported prices

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Cadd pump refill at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $988.32 $246.31 – $863.58
Swedish Medical Center Cherry Hill Seattle $988.32 $246.31 – $836.02
Providence Sacred Heart Medical Center and Children's Hospital Spokane $683.20 $237.02 – $661.46
Swedish Issaquah Issaquah $988.32 $247.00 – $863.58
Providence Centralia Hospital Centralia $731.12 $246.31 – $1,144.70
Kadlec Regional Medical Center Richland $485.10 $235.79 – $718.42
Providence Holy Family Hospital Spokane $517.30 $237.02 – $622.19
Providence Regional Medical Center Everett - Colby Campus Everett $337.48 $242.23 – $771.71

All Washington hospitals for this procedure →