Analysis; simple cranial nerv pulse gen prgrmg 95976 at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$52.53
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.
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What you pay up front if you don't use insurance.
$103.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$1.17 with first choice vs $545.35 with confluence health — 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 →
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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 ?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 |
|---|---|---|---|
| first choice | commercial | $1.17 | ↓ -98% |
| multiplan | medicare advantage | $28.43 | ↓ -46% |
| regence | medicare advantage | $34.53 | ↓ -34% |
| humana | choicecare medicare advantage | $39.03 | ↓ -26% |
| united healthcare | medicare advantage | $39.03 | ↓ -26% |
| humana | medicare advantage | $39.03 | ↓ -26% |
| optum care network | medicare advantage | $39.03 | ↓ -26% |
| kaiser foundation | hp medicare | $39.03 | ↓ -26% |
| united healthcare | commercial | $40.04 | ↓ -24% |
| premera | medicare advantage hmo/ppo | $40.62 | ↓ -23% |
| signal health | medicare advantage | $41.55 | ↓ -21% |
| aetna | medicare advantage ppo | $41.84 | ↓ -20% |
| aetna | medicare advantage hmo | $42.65 | ↓ -19% |
| premera | commercial | $61.80 | ↑ +18% |
| kaiser health plan | commercial | $62.11 | ↑ +18% |
| aetna | commercial | $64.89 | ↑ +24% |
| regence | uniform medical plan | $71.92 | ↑ +37% |
| regence | commercial | $72.10 | ↑ +37% |
| cigna | commercial | $76.06 | ↑ +45% |
| cigna | local plus | $76.06 | ↑ +45% |
| coventry - first health | commercial | $82.40 | ↑ +57% |
| confluence health | medicare advantage | $545.35 | ↑ +938% |
Visitor-reported prices
Comments
Analysis; simple cranial nerv pulse gen prgrmg 95976 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $123.84 | $43.22 – $170.38 |
| Swedish Medical Center Cherry Hill | Seattle | $123.84 | $43.22 – $164.94 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $162.40 | $41.59 – $130.50 |
| Swedish Issaquah | Issaquah | $123.84 | $43.34 – $170.38 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $61.36 | $42.50 – $152.25 |
| MultiCare Valley Hospital | Spokane Valley | $228.40 | $41.98 – $155.75 |
| MultiCare Auburn Medical Center | Auburn | $226.00 | $42.47 – $179.15 |
| MultiCare Good Samaritan Hospital | Puyallup | $226.00 | $42.69 – $179.15 |