Occupational Therapy Evaluation (moderate complexity) at Providence St Vincent Medical Center
9205 SW Barnes Rd, Portland, OR · Providence · · NPI 1114015971
$329.25
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.
$439.00
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.
$104.98 with Providence Health Plan vs $583.06 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 | $104.98 | ↓ -68% |
| Allcare | Medicare Managed Care Plan | $106.69 | ↓ -68% |
| Unitedhealthcare | Medicare Managed Care Plan | $114.16 | ↓ -65% |
| Molina | Medicare Managed Care Plan | $115.23 | ↓ -65% |
| Careoregon | Medicare Managed Care Plan | $116.29 | ↓ -65% |
| Molina Healthcare | Exchange | $195.24 | ↓ -41% |
| Moda | Oebb All Commercial Plans | $213.38 | ↓ -35% |
| Moda | Non-Oebb All Commercial Plans | $583.06 | ↑ +77% |
Visitor-reported prices
Comments
Occupational Therapy Evaluation (moderate complexity) at other Oregon hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Portland Medical Center | Portland | $329.25 | $104.98 – $213.38 |
| PORTLAND ADVENTIST MEDICAL CENTER | Portland | $191.04 | $85.35 – $1,074.60 |
| Sunnyside Medical Center | CLACKAMAS | $252.45 | not published |
| Westside Medical Center | HILLSBORO | $252.45 | not published |
| Providence Hood River Memorial Hospital | Hood River | $153.00 | not published |
| Providence Medford Medical Center | Medford | $297.75 | $85.35 – $213.38 |
| Providence Newberg Medical Center | Newberg | $329.25 | $104.98 – $195.24 |
| Providence Seaside Hospital | Seaside | $380.25 | not published |