Dialysis circuit perm vascular embolization 36909 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

not published by hospital

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.

not published by hospital

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.

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The hospital's undiscounted list price — almost no one pays this.

$4.29 with aetna vs $4,786.61 with regence — 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.

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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
aetna medicare advantage hmo $4.29
first choice commercial $61.77
aetna medicare advantage ppo $137.00
aetna medicare advantage $175.40
united healthcare commercial $198.16
humana choicecare medicare advantage $199.83
humana medicare advantage $199.83
optum care network medicare advantage $199.83
united healthcare medicare advantage $199.83
kaiser foundation hp medicare $199.83
signal health medicare advantage $205.11
multiplan medicare advantage $205.11
premera medicare advantage hmo/ppo $205.11
regence medicare advantage $213.80
confluence health medicare advantage $347.64
regence uniform medical plan $366.48
premera commercial $433.70
cigna commercial $654.30
kaiser health plan commercial $1,038.12
aetna commercial $4,497.00
regence commercial $4,786.61

Visitor-reported prices

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Dialysis circuit perm vascular embolization 36909 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $22,352.16 not published
Swedish Medical Center Cherry Hill Seattle $22,352.16 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $4,810.40 $13,212.00 – $13,212.00
Swedish Issaquah Issaquah $22,352.16 $9,339.00 – $9,339.00
Providence St Mary Medical Center Walla Walla $16,219.00 $6,522.00 – $6,522.00
Kadlec Regional Medical Center Richland $12,196.80 $336.76 – $336.76
Providence Holy Family Hospital Spokane $4,570.30 $3,379.00 – $3,379.00
Providence Regional Medical Center Everett - Colby Campus Everett $2,650.96 $1,985.00 – $1,985.00

All Washington hospitals for this procedure →