Pq kyphplsty 1 bdy lumb w/img at Virginia Mason Medical Center
1100 9th Ave., Seattle, WA · Vmfh · · NPI 1801851258
$9,479.88
Cash price 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.
$18,588.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$43.43 with aetna vs $14,870.40 with coventry - first 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 →
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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 ?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 ?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 |
|---|---|---|---|
| aetna | medicare advantage hmo | $43.43 | ↓ -100% |
| aetna | medicare advantage | $113.81 | ↓ -99% |
| first choice | commercial | $194.59 | ↓ -98% |
| united healthcare | commercial | $489.48 | ↓ -95% |
| humana | medicare advantage | $499.15 | ↓ -95% |
| optum care network | medicare advantage | $499.15 | ↓ -95% |
| kaiser foundation | hp medicare | $499.15 | ↓ -95% |
| humana | choicecare medicare advantage | $499.15 | ↓ -95% |
| united healthcare | medicare advantage | $499.15 | ↓ -95% |
| signal health | medicare advantage | $510.46 | ↓ -95% |
| multiplan | medicare advantage | $510.46 | ↓ -95% |
| premera | medicare advantage hmo/ppo | $510.46 | ↓ -95% |
| regence | medicare advantage | $528.12 | ↓ -94% |
| regence | uniform medical plan | $883.69 | ↓ -91% |
| aetna | medicare advantage ppo | $982.33 | ↓ -90% |
| premera | commercial | $1,045.76 | ↓ -89% |
| cigna | commercial | $1,616.23 | ↓ -83% |
| confluence health | medicare advantage | $2,166.42 | ↓ -77% |
| kaiser health plan | commercial | $2,256.31 | ↓ -76% |
| aetna | commercial | $11,710.44 | ↑ +24% |
| regence | commercial | $13,011.60 | ↑ +37% |
| cigna | local plus | $13,725.38 | ↑ +45% |
| coventry - first health | commercial | $14,870.40 | ↑ +57% |
Visitor-reported prices
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Pq kyphplsty 1 bdy lumb w/img at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $19,180.80 | $7,277.00 – $29,132.10 |
| Swedish Medical Center Cherry Hill | Seattle | $19,180.80 | $7,277.00 – $28,055.35 |
| Central Medical Center | Seattle | $14,960.00 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $20,459.60 | $5,419.00 – $20,578.67 |
| Swedish Issaquah | Issaquah | $19,180.80 | $7,277.00 – $29,132.10 |
| Providence St Mary Medical Center | Walla Walla | $15,257.90 | $6,339.19 – $14,958.96 |
| Kadlec Regional Medical Center | Richland | $15,782.90 | $801.47 – $22,193.03 |
| Providence Holy Family Hospital | Spokane | $18,727.10 | $2,985.00 – $21,225.54 |