Chemodenerv 1 extrem 1-4 ea 64643 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

$884.85

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.

$1,735.00

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.

$2.74 with first choice vs $1,388.00 with coventry - first 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 →

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 $2.74 ↓ -100%
united healthcare commercial $71.80 ↓ -92%
humana medicare advantage $72.37 ↓ -92%
united healthcare medicare advantage $72.37 ↓ -92%
kaiser foundation hp medicare $72.37 ↓ -92%
optum care network medicare advantage $72.37 ↓ -92%
humana choicecare medicare advantage $72.37 ↓ -92%
signal health medicare advantage $74.76 ↓ -92%
multiplan medicare advantage $74.76 ↓ -92%
premera medicare advantage hmo/ppo $74.76 ↓ -92%
regence medicare advantage $77.47 ↓ -91%
confluence health medicare advantage $78.38 ↓ -91%
aetna medicare advantage hmo $126.61 ↓ -86%
regence uniform medical plan $130.71 ↓ -85%
premera commercial $154.68 ↓ -83%
aetna medicare advantage ppo $213.74 ↓ -76%
regence commercial $229.91 ↓ -74%
cigna commercial $237.07 ↓ -73%
kaiser health plan commercial $339.72 ↓ -62%
aetna commercial $1,093.05 ↑ +24%
aetna medicare advantage $1,120.14 ↑ +27%
cigna local plus $1,281.12 ↑ +45%
coventry - first health commercial $1,388.00 ↑ +57%

Visitor-reported prices

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Chemodenerv 1 extrem 1-4 ea 64643 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $1,835.52 not published
Swedish Medical Center Cherry Hill Seattle $1,835.52 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $201.60 $13,212.00 – $13,212.00
Swedish Issaquah Issaquah $1,835.52 $9,339.00 – $9,339.00
MultiCare Yakima Memorial Hospital Yakima $427.20 not published
MultiCare Auburn Medical Center Auburn $740.40 $804.85 – $869.24
MultiCare Good Samaritan Hospital Puyallup $740.40 $823.46 – $889.33
MultiCare Capital Medical Center Olympia $740.40 $866.15 – $1,283.18

All Washington hospitals for this procedure →