Chemodenerv musc neck dyston 64616 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

$618.63

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.

$1,213.00

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.

$4.00 with first choice vs $970.40 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 $4.00 ↓ -99%
confluence health medicare advantage $27.62 ↓ -96%
aetna medicare advantage $73.42 ↓ -88%
united healthcare commercial $112.11 ↓ -82%
aetna medicare advantage hmo $115.82 ↓ -81%
humana medicare advantage $116.48 ↓ -81%
humana choicecare medicare advantage $116.48 ↓ -81%
united healthcare medicare advantage $116.48 ↓ -81%
kaiser foundation hp medicare $116.48 ↓ -81%
optum care network medicare advantage $116.48 ↓ -81%
multiplan medicare advantage $119.05 ↓ -81%
signal health medicare advantage $119.05 ↓ -81%
premera medicare advantage hmo/ppo $119.05 ↓ -81%
regence medicare advantage $120.96 ↓ -80%
regence uniform medical plan $203.26 ↓ -67%
premera commercial $240.53 ↓ -61%
aetna medicare advantage ppo $331.20 ↓ -46%
regence commercial $341.13 ↓ -45%
cigna commercial $370.17 ↓ -40%
kaiser health plan commercial $502.64 ↓ -19%
aetna commercial $764.19 ↑ +24%
cigna local plus $895.68 ↑ +45%
coventry - first health commercial $970.40 ↑ +57%

Visitor-reported prices

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Chemodenerv musc neck dyston 64616 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $2,047.68 $355.45 – $1,230.32
Swedish Medical Center Cherry Hill Seattle $2,047.68 $355.45 – $1,191.05
Central Medical Center Seattle $677.60 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $501.90 $342.05 – $870.52
Swedish Issaquah Issaquah $2,047.68 $356.44 – $1,230.32
MultiCare Valley Hospital Spokane Valley $565.20 $295.29 – $1,209.91
MultiCare Yakima Memorial Hospital Yakima $364.00 $366.19 – $921.83
MultiCare Auburn Medical Center Auburn $686.80 $302.04 – $1,473.43

All Washington hospitals for this procedure →