Ercp biliary & pancreas at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$637.50
Cash price 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.
?
What you pay up front if you don't use insurance.
$1,250.00
Gross charge 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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.41 with aetna vs $1,000.00 with coventry - first health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 ?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 ?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 ppo | $0.41 | ↓ -100% |
| first choice | commercial | $3.89 | ↓ -99% |
| aetna | medicare advantage | $39.39 | ↓ -94% |
| optum care network | medicare advantage | $112.06 | ↓ -82% |
| kaiser foundation | hp medicare | $112.06 | ↓ -82% |
| united healthcare | medicare advantage | $112.06 | ↓ -82% |
| humana | choicecare medicare advantage | $112.06 | ↓ -82% |
| humana | medicare advantage | $112.06 | ↓ -82% |
| united healthcare | commercial | $113.74 | ↓ -82% |
| signal health | medicare advantage | $115.20 | ↓ -82% |
| multiplan | medicare advantage | $115.20 | ↓ -82% |
| premera | medicare advantage hmo/ppo | $115.20 | ↓ -82% |
| regence | medicare advantage | $122.72 | ↓ -81% |
| aetna | medicare advantage hmo | $132.43 | ↓ -79% |
| regence | uniform medical plan | $190.12 | ↓ -70% |
| premera | commercial | $224.99 | ↓ -65% |
| regence | commercial | $252.32 | ↓ -60% |
| cigna | commercial | $375.57 | ↓ -41% |
| kaiser health plan | commercial | $471.36 | ↓ -26% |
| aetna | commercial | $787.50 | ↑ +24% |
| cigna | local plus | $923.00 | ↑ +45% |
| confluence health | medicare advantage | $989.59 | ↑ +55% |
| coventry - first health | commercial | $1,000.00 | ↑ +57% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $1,122.24 | not published |
| Swedish Medical Center Cherry Hill | Seattle | $1,122.24 | not published |
| Central Medical Center | Seattle | $2,160.00 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,185.00 | $1,035.38 – $1,035.38 |
| Swedish Issaquah | Issaquah | $1,122.24 | $99.02 – $99.02 |
| Providence Mount Carmel Hospital | Colville | $1,120.70 | not published |
| Providence St Mary Medical Center | Walla Walla | $2,317.70 | $550.30 – $550.30 |
| Kadlec Regional Medical Center | Richland | $1,501.50 | $181.29 – $181.29 |