Needle emg guid w/chemodenervation add-on 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

$144.84

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.

$284.00

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.

$2.43 with first choice vs $1,375.54 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 $2.43 ↓ -98%
aetna medicare advantage $8.91 ↓ -94%
humana medicare advantage $84.58 ↓ -42%
optum care network medicare advantage $84.58 ↓ -42%
kaiser foundation hp medicare $84.58 ↓ -42%
united healthcare medicare advantage $84.58 ↓ -42%
humana choicecare medicare advantage $84.58 ↓ -42%
united healthcare commercial $88.05 ↓ -39%
signal health medicare advantage $90.29 ↓ -38%
multiplan medicare advantage $90.29 ↓ -38%
premera medicare advantage hmo/ppo $90.29 ↓ -38%
regence medicare advantage $95.00 ↓ -34%
coventry - first health commercial $131.81 ↓ -9%
regence uniform medical plan $144.47 ↓ -0%
premera commercial $170.40 ↑ +18%
kaiser health plan commercial $171.25 ↑ +18%
aetna medicare advantage hmo $171.75 ↑ +19%
aetna commercial $178.92 ↑ +24%
regence commercial $191.73 ↑ +32%
cigna commercial $209.71 ↑ +45%
cigna local plus $209.71 ↑ +45%
aetna medicare advantage ppo $786.97 ↑ +443%
confluence health medicare advantage $1,375.54 ↑ +850%

Visitor-reported prices

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Needle emg guid w/chemodenervation add-on at other Washington hospitals

Hospital City Cash price Negotiated range
Swedish Medical Center - First Hill Campus Seattle $342.24 not published
Swedish Medical Center Cherry Hill Seattle $342.24 not published
Swedish Issaquah Issaquah $342.24 not published
MultiCare Valley Hospital Spokane Valley $157.20 $295.29 – $312.66
MultiCare Yakima Memorial Hospital Yakima $54.40 not published
MultiCare Auburn Medical Center Auburn $164.80 $302.04 – $326.21
MultiCare Good Samaritan Hospital Puyallup $164.80 $309.03 – $333.75
MultiCare Capital Medical Center Olympia $164.80 $325.05 – $481.55

All Washington hospitals for this procedure →