Chemodenervation anal musc 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

$2,762.67

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.

$5,417.00

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.

$8.60 with aetna vs $3,999.91 with cigna — 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 $8.60 ↓ -100%
first choice commercial $9.32 ↓ -100%
aetna medicare advantage ppo $18.93 ↓ -99%
aetna medicare advantage hmo $40.96 ↓ -99%
confluence health medicare advantage $234.00 ↓ -92%
united healthcare commercial $269.73 ↓ -90%
humana medicare advantage $272.93 ↓ -90%
humana choicecare medicare advantage $272.93 ↓ -90%
united healthcare medicare advantage $272.93 ↓ -90%
kaiser foundation hp medicare $272.93 ↓ -90%
optum care network medicare advantage $272.93 ↓ -90%
signal health medicare advantage $281.28 ↓ -90%
multiplan medicare advantage $281.28 ↓ -90%
premera medicare advantage hmo/ppo $281.28 ↓ -90%
regence medicare advantage $291.03 ↓ -89%
regence uniform medical plan $470.93 ↓ -83%
premera commercial $557.30 ↓ -80%
coventry - first health commercial $690.47 ↓ -75%
regence commercial $787.67 ↓ -71%
cigna commercial $890.64 ↓ -68%
kaiser health plan commercial $1,028.23 ↓ -63%
aetna commercial $3,412.71 ↑ +24%
cigna local plus $3,999.91 ↑ +45%

Visitor-reported prices

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Chemodenervation anal musc at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $3,094.08 $1,385.70 – $4,719.83
Swedish Medical Center Cherry Hill Seattle $3,094.08 $1,385.70 – $4,569.20
Central Medical Center Seattle not published not published
Providence St Joseph Hospital Chewelah $2,535.40 not published
Swedish Issaquah Issaquah $3,094.08 $1,389.59 – $4,719.83
St. Michael Medical Center Silverdale $1,732.53 $2,473.09 – $5,103.75
St. Anne Hospital Burien $1,198.69 $1,687.98 – $3,532.98
St. Anthony Hospital Gig Harbor $1,193.95 $2,826.39 – $2,946.49

All Washington hospitals for this procedure →