Inj proc myelogram lumbar 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

$906.78

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.

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What you pay up front if you don't use insurance.

$1,778.00

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.

$5.89 with first choice vs $1,312.88 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
first choice commercial $5.89 ↓ -99%
aetna medicare advantage $45.65 ↓ -95%
aetna medicare advantage hmo $69.44 ↓ -92%
united healthcare commercial $86.56 ↓ -90%
humana medicare advantage $86.76 ↓ -90%
optum care network medicare advantage $86.76 ↓ -90%
kaiser foundation hp medicare $86.76 ↓ -90%
humana choicecare medicare advantage $86.76 ↓ -90%
united healthcare medicare advantage $86.76 ↓ -90%
signal health medicare advantage $88.75 ↓ -90%
multiplan medicare advantage $88.75 ↓ -90%
premera medicare advantage hmo/ppo $88.75 ↓ -90%
regence medicare advantage $93.40 ↓ -90%
confluence health medicare advantage $147.52 ↓ -84%
regence uniform medical plan $155.72 ↓ -83%
premera commercial $184.28 ↓ -80%
cigna commercial $285.83 ↓ -68%
kaiser health plan commercial $410.76 ↓ -55%
regence commercial $475.59 ↓ -48%
coventry - first health commercial $569.37 ↓ -37%
aetna medicare advantage ppo $646.67 ↓ -29%
aetna commercial $1,120.14 ↑ +24%
cigna local plus $1,312.88 ↑ +45%

Visitor-reported prices

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Inj proc myelogram lumbar at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $1,079.52 not published
Swedish Medical Center Cherry Hill Seattle $1,079.52 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $742.00 $13,212.00 – $13,212.00
Swedish Issaquah Issaquah $1,079.52 $9,339.00 – $9,339.00
Providence Mount Carmel Hospital Colville $885.50 not published
Providence St Mary Medical Center Walla Walla $1,850.10 $6,522.00 – $6,522.00
Kadlec Regional Medical Center Richland $1,033.90 $142.29 – $142.29
Providence Holy Family Hospital Spokane $818.30 $3,379.00 – $3,379.00

All Washington hospitals for this procedure →