Arthrodesis/cerv/thor/lumb/ea add 22585 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.

Full explanation →

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.

Full explanation →

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

$8.28 with aetna vs $18,711.00 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
aetna medicare advantage hmo $8.28
first choice commercial $9.59
united healthcare commercial $327.77
optum care network medicare advantage $332.98
humana medicare advantage $332.98
kaiser foundation hp medicare $332.98
humana choicecare medicare advantage $332.98
united healthcare medicare advantage $332.98
signal health medicare advantage $341.20
multiplan medicare advantage $341.20
premera medicare advantage hmo/ppo $341.20
regence medicare advantage $353.65
aetna medicare advantage $527.22
regence uniform medical plan $605.39
premera commercial $716.42
regence commercial $803.44
coventry - first health commercial $861.41
aetna medicare advantage ppo $996.64
cigna commercial $1,082.27
kaiser health plan commercial $1,589.71
confluence health medicare advantage $2,362.53
aetna commercial $18,711.00

Visitor-reported prices

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Arthrodesis/cerv/thor/lumb/ea add 22585 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Luke's Rehabilitation Medical Center Spokane not published $1,059.41 – $1,059.41
Providence Sacred Heart Medical Center and Children's Hospital Spokane not published $33,603.00 – $33,603.00
Providence Centralia Hospital Centralia not published $10,122.47 – $10,122.47
Kadlec Regional Medical Center Richland not published $550.76 – $550.76
Providence Holy Family Hospital Spokane not published $11,241.00 – $11,241.00
Providence Regional Medical Center Everett - Colby Campus Everett not published $13,908.00 – $13,908.00
Providence St Peter Hospital Olympia not published $27,982.24 – $27,982.24
MultiCare Valley Hospital Spokane Valley not published $6,954.17 – $7,363.24

All Washington hospitals for this procedure →