Fine needle asp without image guide 10021 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

$636.99

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.

$1,249.00

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.

$3.02 with first choice vs $1,272.24 with aetna — 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 $3.02 ↓ -100%
united healthcare commercial $56.27 ↓ -91%
humana medicare advantage $57.44 ↓ -91%
united healthcare medicare advantage $57.44 ↓ -91%
kaiser foundation hp medicare $57.44 ↓ -91%
optum care network medicare advantage $57.44 ↓ -91%
humana choicecare medicare advantage $57.44 ↓ -91%
signal health medicare advantage $58.42 ↓ -91%
multiplan medicare advantage $58.42 ↓ -91%
premera medicare advantage hmo/ppo $58.42 ↓ -91%
regence medicare advantage $60.71 ↓ -90%
regence uniform medical plan $101.94 ↓ -84%
premera commercial $120.64 ↓ -81%
cigna commercial $185.79 ↓ -71%
aetna medicare advantage ppo $188.35 ↓ -70%
regence commercial $253.15 ↓ -60%
kaiser health plan commercial $329.43 ↓ -48%
confluence health medicare advantage $354.77 ↓ -44%
coventry - first health commercial $362.26 ↓ -43%
aetna medicare advantage hmo $456.96 ↓ -28%
aetna commercial $786.87 ↑ +24%
cigna local plus $922.26 ↑ +45%
aetna medicare advantage $1,272.24 ↑ +100%

Visitor-reported prices

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Fine needle asp without image guide 10021 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $1,035.36 $470.74 – $1,501.70
Swedish Medical Center Cherry Hill Seattle $1,035.36 $470.74 – $1,453.77
Central Medical Center Seattle $870.40 not published
Providence St Joseph Hospital Chewelah $557.90 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $389.20 $453.00 – $1,152.88
Swedish Issaquah Issaquah $1,035.36 $472.06 – $1,501.70
Providence Centralia Hospital Centralia $950.04 $470.74 – $1,869.13
Providence Mount Carmel Hospital Colville $690.90 not published

All Washington hospitals for this procedure →