Myelography neck spine 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

$1,533.57

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.

$3,007.00

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.

$3.40 with first choice vs $2,220.37 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 →

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 $3.40 ↓ -100%
aetna medicare advantage hmo $28.43 ↓ -98%
confluence health medicare advantage $60.01 ↓ -96%
aetna medicare advantage $71.36 ↓ -95%
humana medicare advantage $125.49 ↓ -92%
humana choicecare medicare advantage $125.49 ↓ -92%
united healthcare medicare advantage $125.49 ↓ -92%
kaiser foundation hp medicare $125.49 ↓ -92%
optum care network medicare advantage $125.49 ↓ -92%
united healthcare commercial $128.74 ↓ -92%
multiplan medicare advantage $130.24 ↓ -92%
signal health medicare advantage $130.24 ↓ -92%
premera medicare advantage hmo/ppo $130.24 ↓ -92%
regence medicare advantage $138.90 ↓ -91%
aetna medicare advantage ppo $141.58 ↓ -91%
regence uniform medical plan $215.76 ↓ -86%
premera commercial $255.33 ↓ -83%
regence commercial $286.35 ↓ -81%
kaiser health plan commercial $366.55 ↓ -76%
coventry - first health commercial $401.27 ↓ -74%
cigna commercial $425.08 ↓ -72%
aetna commercial $618.97 ↓ -60%
cigna local plus $2,220.37 ↑ +45%

Visitor-reported prices

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Myelography neck spine at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $1,490.40 $907.77 – $3,199.85
Swedish Medical Center Cherry Hill Seattle $1,490.40 $907.77 – $3,097.73
Central Medical Center Seattle $2,720.00 $791.00 – $791.00
Providence Sacred Heart Medical Center and Children's Hospital Spokane $1,319.50 $777.76 – $2,450.95
Swedish Issaquah Issaquah $1,490.40 $282.97 – $3,199.85
Providence St Mary Medical Center Walla Walla $3,060.40 $413.38 – $1,616.08
Kadlec Regional Medical Center Richland $1,718.50 $198.50 – $2,662.01
Providence Holy Family Hospital Spokane $3,353.00 $360.82 – $2,742.27

All Washington hospitals for this procedure →