Declotting thrombolytic agent implanted vas access device 36 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

$613.02

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.

$1,202.00

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.

$0.96 with first choice vs $887.56 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 $0.96 ↓ -100%
aetna medicare advantage hmo $4.28 ↓ -99%
aetna medicare advantage ppo $29.98 ↓ -95%
united healthcare commercial $38.40 ↓ -94%
humana medicare advantage $40.80 ↓ -93%
optum care network medicare advantage $40.80 ↓ -93%
kaiser foundation hp medicare $40.80 ↓ -93%
united healthcare medicare advantage $40.80 ↓ -93%
humana choicecare medicare advantage $40.80 ↓ -93%
regence medicare advantage $41.43 ↓ -93%
signal health medicare advantage $41.99 ↓ -93%
multiplan medicare advantage $41.99 ↓ -93%
premera medicare advantage hmo/ppo $41.99 ↓ -93%
regence uniform medical plan $61.91 ↓ -90%
premera commercial $73.27 ↓ -88%
coventry - first health commercial $74.88 ↓ -88%
regence commercial $82.17 ↓ -87%
kaiser health plan commercial $92.41 ↓ -85%
cigna commercial $126.79 ↓ -79%
confluence health medicare advantage $165.01 ↓ -73%
aetna medicare advantage $207.31 ↓ -66%
aetna commercial $757.26 ↑ +24%
cigna local plus $887.56 ↑ +45%

Visitor-reported prices

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Declotting thrombolytic agent implanted vas access device 36 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $1,048.80 $382.49 – $1,455.12
Swedish Medical Center Cherry Hill Seattle $1,048.80 $382.49 – $1,408.68
Central Medical Center Seattle $1,120.00 not published
Providence St Luke's Rehabilitation Medical Center Spokane $487.62 $368.07 – $404.88
Providence St Joseph Hospital Chewelah $204.40 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $657.30 $368.07 – $959.76
Swedish Issaquah Issaquah $1,048.80 $383.56 – $1,455.12
Providence Centralia Hospital Centralia $908.96 $382.49 – $1,811.16

All Washington hospitals for this procedure →