Chemodenerv trunk musc 1-5 64646 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

$1,106.19

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.

$2,169.00

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.

$4.62 with first choice vs $1,735.20 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 $4.62 ↓ -100%
confluence health medicare advantage $13.00 ↓ -99%
aetna medicare advantage ppo $93.23 ↓ -92%
united healthcare commercial $118.70 ↓ -89%
humana medicare advantage $122.67 ↓ -89%
humana choicecare medicare advantage $122.67 ↓ -89%
united healthcare medicare advantage $122.67 ↓ -89%
kaiser foundation hp medicare $122.67 ↓ -89%
optum care network medicare advantage $122.67 ↓ -89%
signal health medicare advantage $125.14 ↓ -89%
multiplan medicare advantage $125.14 ↓ -89%
premera medicare advantage hmo/ppo $125.14 ↓ -89%
regence medicare advantage $128.07 ↓ -88%
aetna medicare advantage $198.55 ↓ -82%
regence uniform medical plan $215.76 ↓ -80%
aetna medicare advantage hmo $221.73 ↓ -80%
premera commercial $255.33 ↓ -77%
cigna commercial $391.94 ↓ -65%
regence commercial $396.74 ↓ -64%
kaiser health plan commercial $537.64 ↓ -51%
aetna commercial $1,366.47 ↑ +24%
cigna local plus $1,601.59 ↑ +45%
coventry - first health commercial $1,735.20 ↑ +57%

Visitor-reported prices

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Chemodenerv trunk musc 1-5 64646 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $2,047.68 $817.40 – $2,937.74
Swedish Medical Center Cherry Hill Seattle $2,047.68 $817.40 – $2,843.98
Central Medical Center Seattle $1,557.60 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,110.90 $786.59 – $2,001.88
Swedish Issaquah Issaquah $2,047.68 $819.70 – $2,937.74
MultiCare Valley Hospital Spokane Valley $1,150.40 $295.29 – $2,867.31
St. Michael Medical Center Silverdale $599.10 $855.19 – $3,036.77
St. Anne Hospital Burien $414.50 $583.70 – $1,221.69

All Washington hospitals for this procedure →