Lab draw <3 yrs scalp vein 36405 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

$24.48

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.

$48.00

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.

$0.68 with first choice vs $91.16 with aetna — 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 $0.68 ↓ -97%
aetna medicare advantage hmo $13.72 ↓ -44%
united healthcare commercial $15.24 ↓ -38%
optum care network medicare advantage $15.35 ↓ -37%
humana medicare advantage $15.35 ↓ -37%
kaiser foundation hp medicare $15.35 ↓ -37%
humana choicecare medicare advantage $15.35 ↓ -37%
united healthcare medicare advantage $15.35 ↓ -37%
signal health medicare advantage $15.80 ↓ -35%
multiplan medicare advantage $15.80 ↓ -35%
premera medicare advantage hmo/ppo $15.80 ↓ -35%
regence medicare advantage $16.44 ↓ -33%
regence uniform medical plan $27.52 ↑ +12%
premera commercial $28.80 ↑ +18%
kaiser health plan commercial $28.94 ↑ +18%
aetna medicare advantage ppo $30.05 ↑ +23%
aetna commercial $30.24 ↑ +24%
regence commercial $33.60 ↑ +37%
cigna local plus $35.44 ↑ +45%
cigna commercial $35.44 ↑ +45%
coventry - first health commercial $38.40 ↑ +57%
confluence health medicare advantage $54.95 ↑ +124%
aetna medicare advantage $91.16 ↑ +272%

Visitor-reported prices

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Lab draw <3 yrs scalp vein 36405 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $28.70 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $34.30 not published
Providence St Mary Medical Center Walla Walla $100.10 not published
Kadlec Regional Medical Center Richland $98.00 $25.25 – $25.25
Providence Holy Family Hospital Spokane $111.30 not published
Providence St Luke's Rehabilitation Medical Center Spokane not published $53.07 – $53.07
MultiCare Valley Hospital Spokane Valley not published $1.58 – $1.68
MultiCare Auburn Medical Center Auburn not published $1.62 – $1.75

All Washington hospitals for this procedure →