Chemotherapy injection 96542 at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$346.29
Cash price 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.
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What you pay up front if you don't use insurance.
$679.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$4.02 with first choice vs $501.37 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 →
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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 ?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 ?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 | $4.02 | ↓ -99% |
| united healthcare | commercial | $43.58 | ↓ -87% |
| humana | medicare advantage | $43.65 | ↓ -87% |
| united healthcare | medicare advantage | $43.65 | ↓ -87% |
| kaiser foundation | hp medicare | $43.65 | ↓ -87% |
| optum care network | medicare advantage | $43.65 | ↓ -87% |
| humana | choicecare medicare advantage | $43.65 | ↓ -87% |
| signal health | medicare advantage | $45.61 | ↓ -87% |
| multiplan | medicare advantage | $45.61 | ↓ -87% |
| premera | medicare advantage hmo/ppo | $45.61 | ↓ -87% |
| regence | medicare advantage | $47.02 | ↓ -86% |
| regence | uniform medical plan | $77.55 | ↓ -78% |
| premera | commercial | $91.77 | ↓ -73% |
| cigna | commercial | $143.88 | ↓ -58% |
| aetna | medicare advantage | $146.63 | ↓ -58% |
| kaiser health plan | commercial | $194.56 | ↓ -44% |
| confluence health | medicare advantage | $295.78 | ↓ -15% |
| regence | commercial | $321.21 | ↓ -7% |
| coventry - first health | commercial | $354.62 | ↑ +2% |
| aetna | medicare advantage ppo | $372.14 | ↑ +7% |
| aetna | medicare advantage hmo | $379.37 | ↑ +10% |
| aetna | commercial | $427.77 | ↑ +24% |
| cigna | local plus | $501.37 | ↑ +45% |
Visitor-reported prices
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Chemotherapy injection 96542 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $988.32 | $382.49 – $1,162.01 |
| Swedish Medical Center Cherry Hill | Seattle | $988.32 | $382.49 – $895.03 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $630.70 | $368.07 – $936.75 |
| Swedish Issaquah | Issaquah | $988.32 | $153.21 – $863.58 |
| Providence St Mary Medical Center | Walla Walla | $333.90 | $109.79 – $680.94 |
| Kadlec Regional Medical Center | Richland | $483.70 | $71.14 – $718.42 |
| MultiCare Valley Hospital | Spokane Valley | $329.60 | $29.97 – $1,037.42 |
| MultiCare Yakima Memorial Hospital | Yakima | $258.40 | $336.24 – $1,054.04 |