Insulin tolerance panel at Providence St Vincent Medical Center
9205 SW Barnes Rd, Portland, OR · Providence · · NPI 1114015971
not published by hospital
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.
not published by hospital
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.
$101.35 with Providence Health Plan vs $562.90 with Moda — 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 |
|---|---|---|---|
| Providence Health Plan | Medicare Managed Care Plan | $101.35 | — |
| Allcare | Medicare Managed Care Plan | $103.00 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $110.21 | — |
| Molina | Medicare Managed Care Plan | $111.24 | — |
| Careoregon | Medicare Managed Care Plan | $112.27 | — |
| Providence Health Plan | Connect Other Commercial Plan | $136.48 | — |
| Providence Health Plan | Signature, Choice, Extended Ppo Other Commercial Plan | $148.32 | — |
| Cigna | All Commercial Plans | $167.38 | — |
| Molina Healthcare | Exchange | $188.49 | — |
| Moda | Oebb All Commercial Plans | $206.00 | — |
| Unitedhealthcare | Core Other Commercial Plan | $247.29 | — |
| Unitedhealthcare | Charter Other Commercial Plan | $247.29 | — |
| Unitedhealthcare | All Payer All Commercial Plans | $282.62 | — |
| Moda | Non-Oebb All Commercial Plans | $562.90 | — |
Visitor-reported prices
Comments
Insulin tolerance panel at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Portland Medical Center | Portland | not published | $101.35 – $206.00 |
| Providence Medford Medical Center | Medford | not published | $82.40 – $206.00 |
| Providence Newberg Medical Center | Newberg | not published | $101.35 – $188.49 |
| Providence Willamette Falls Medical Center | Oregon City | not published | $101.35 – $206.00 |
| Providence Milwaukie Hospital | Milwaukie | not published | $101.35 – $206.00 |