Revision open av fistula without thromb 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

$10,457.04

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.

$20,504.00

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.

$9.36 with aetna vs $15,140.15 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
aetna medicare advantage hmo $9.36 ↓ -100%
first choice commercial $22.07 ↓ -100%
aetna medicare advantage ppo $282.88 ↓ -97%
aetna medicare advantage $499.00 ↓ -95%
united healthcare commercial $749.56 ↓ -93%
humana medicare advantage $761.70 ↓ -93%
optum care network medicare advantage $761.70 ↓ -93%
kaiser foundation hp medicare $761.70 ↓ -93%
united healthcare medicare advantage $761.70 ↓ -93%
humana choicecare medicare advantage $761.70 ↓ -93%
signal health medicare advantage $782.43 ↓ -93%
multiplan medicare advantage $782.43 ↓ -93%
premera medicare advantage hmo/ppo $782.43 ↓ -93%
regence medicare advantage $808.73 ↓ -92%
confluence health medicare advantage $1,355.21 ↓ -87%
regence uniform medical plan $1,384.01 ↓ -87%
coventry - first health commercial $1,571.96 ↓ -85%
premera commercial $1,637.84 ↓ -84%
regence commercial $1,836.79 ↓ -82%
cigna commercial $2,474.99 ↓ -76%
kaiser health plan commercial $3,696.15 ↓ -65%
aetna commercial $12,917.52 ↑ +24%
cigna local plus $15,140.15 ↑ +45%

Visitor-reported prices

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Revision open av fistula without thromb at other Washington hospitals

Hospital City Cash price Negotiated range
Central Medical Center Seattle $11,996.00 not published
Swedish Medical Center - First Hill Campus Seattle not published $6,443.62 – $22,383.45
Swedish Medical Center Cherry Hill Seattle not published $6,443.62 – $21,556.13
Kadlec Regional Medical Center Richland $15,318.80 $1,274.78 – $17,051.86
Providence Regional Medical Center Everett - Colby Campus Everett $8,758.88 $6,336.85 – $17,419.56
MultiCare Valley Hospital Spokane Valley $7,291.20 $2,393.14 – $22,871.93
MultiCare Yakima Memorial Hospital Yakima $8,858.00 $6,638.35 – $17,103.54
St. Michael Medical Center Silverdale $4,624.86 $6,601.72 – $24,223.69

All Washington hospitals for this procedure →