Lower Back (Lumbar Spine) CT scan (with contrast) 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

$1,834.98

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.

$3,598.00

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.

$5.34 with first choice vs $1,317.58 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 $5.34 ↓ -100%
aetna medicare advantage ppo $32.81 ↓ -98%
aetna medicare advantage hmo $34.55 ↓ -98%
confluence health medicare advantage $39.79 ↓ -98%
humana medicare advantage $195.42 ↓ -89%
humana choicecare medicare advantage $195.42 ↓ -89%
united healthcare medicare advantage $195.42 ↓ -89%
kaiser foundation hp medicare $195.42 ↓ -89%
optum care network medicare advantage $195.42 ↓ -89%
united healthcare commercial $197.33 ↓ -89%
multiplan medicare advantage $203.01 ↓ -89%
signal health medicare advantage $203.01 ↓ -89%
premera medicare advantage hmo/ppo $203.01 ↓ -89%
regence medicare advantage $212.91 ↓ -88%
regence uniform medical plan $328.34 ↓ -82%
premera commercial $388.55 ↓ -79%
regence commercial $435.75 ↓ -76%
aetna medicare advantage $496.42 ↓ -73%
cigna commercial $651.56 ↓ -64%
kaiser health plan commercial $767.37 ↓ -58%
coventry - first health commercial $853.02 ↓ -54%
aetna commercial $1,025.60 ↓ -44%
cigna local plus $1,317.58 ↓ -28%

Visitor-reported prices

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Lower Back (Lumbar Spine) CT scan (with contrast) at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $2,930.88 $403.99 – $1,794.70
Swedish Medical Center Cherry Hill Seattle $2,930.88 $403.99 – $1,737.42
Central Medical Center Seattle $1,920.00 $358.00 – $358.00
Providence St Joseph Hospital Chewelah $1,243.20 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,690.50 $388.77 – $1,374.66
Swedish Issaquah Issaquah $2,930.88 $405.13 – $1,794.70
Providence Centralia Hospital Centralia $1,670.76 $403.99 – $2,378.93
Providence Mount Carmel Hospital Colville $1,164.10 not published

All Washington hospitals for this procedure →