Epidural/lumbar/sacral/ea add level64484 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

$798.66

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.

$1,566.00

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.

$3.29 with first choice vs $1,341.78 with confluence 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 $3.29 ↓ -100%
aetna medicare advantage hmo $12.62 ↓ -98%
aetna medicare advantage ppo $29.45 ↓ -96%
united healthcare commercial $52.64 ↓ -93%
optum care network medicare advantage $52.91 ↓ -93%
humana medicare advantage $52.91 ↓ -93%
kaiser foundation hp medicare $52.91 ↓ -93%
humana choicecare medicare advantage $52.91 ↓ -93%
united healthcare medicare advantage $52.91 ↓ -93%
signal health medicare advantage $55.02 ↓ -93%
multiplan medicare advantage $55.02 ↓ -93%
premera medicare advantage hmo/ppo $55.02 ↓ -93%
regence medicare advantage $56.80 ↓ -93%
regence uniform medical plan $95.06 ↓ -88%
aetna medicare advantage $101.11 ↓ -87%
premera commercial $112.50 ↓ -86%
cigna commercial $173.82 ↓ -78%
kaiser health plan commercial $247.22 ↓ -69%
regence commercial $277.22 ↓ -65%
coventry - first health commercial $355.10 ↓ -56%
aetna commercial $986.58 ↑ +24%
cigna local plus $1,156.33 ↑ +45%
confluence health medicare advantage $1,341.78 ↑ +68%

Visitor-reported prices

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Epidural/lumbar/sacral/ea add level64484 at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $1,685.28 not published
Swedish Medical Center Cherry Hill Seattle $1,685.28 not published
Swedish Issaquah Issaquah $1,685.28 $9,339.00 – $9,339.00
Providence St Mary Medical Center Walla Walla $1,110.90 $6,522.00 – $6,522.00
Kadlec Regional Medical Center Richland $2,016.70 $86.63 – $86.63
Providence Holy Family Hospital Spokane $817.60 $3,379.00 – $3,379.00
Providence Regional Medical Center Everett - Colby Campus Everett $863.20 $1,985.00 – $1,985.00
MultiCare Valley Hospital Spokane Valley $512.80 $580.23 – $614.37

All Washington hospitals for this procedure →