Nqhp ol dig assmt&mgmt 11-20 at Providence Milwaukie Hospital
10150 SE 32nd Ave, Milwaukie, OR · Providence · · NPI 1366536963
$63.00
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.
?
What you pay up front if you don't use insurance.
$84.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$18.53 with Providence Health Plan vs $102.91 with Moda — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Providence Health Plan | Medicare Managed Care Plan | $18.53 | ↓ -71% |
| Allcare | Medicare Managed Care Plan | $18.83 | ↓ -70% |
| Unitedhealthcare | Medicare Managed Care Plan | $20.15 | ↓ -68% |
| Molina | Medicare Managed Care Plan | $20.34 | ↓ -68% |
| Careoregon | Medicare Managed Care Plan | $20.52 | ↓ -67% |
| Molina Healthcare | Exchange | $34.46 | ↓ -45% |
| Moda | Oebb All Commercial Plans | $37.66 | ↓ -40% |
| Moda | Non-Oebb All Commercial Plans | $102.91 | ↑ +63% |
Visitor-reported prices
Comments
Nqhp ol dig assmt&mgmt 11-20 at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Newberg Medical Center | Newberg | $63.00 | $18.53 – $34.46 |
| Providence Willamette Falls Medical Center | Oregon City | $63.00 | $18.53 – $37.66 |
| Providence Portland Medical Center | Portland | $63.00 | $18.53 – $37.66 |
| Providence St Vincent Medical Center | Portland | $63.00 | $18.53 – $37.66 |
| Providence Medford Medical Center | Medford | not published | $15.06 – $37.66 |