Afo tibial fracture soft at Swedish Edmonds Hospital
21601 76th Ave W, Edmonds, WA · Providence · · NPI 1225289499
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.
$555.88 with Kaiser vs $2,039.09 with First Choice — 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 |
|---|---|---|---|
| Kaiser | Medicare Managed Care Plan | $555.88 | — |
| Aetna | Medicare Managed Care - Hmo | $572.56 | — |
| Aetna | Medicare Managed Care - Ppo | $578.12 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $583.67 | — |
| Humana | Choice Care Medicare Managed Care Plan | $589.23 | — |
| Blue Shield | Regence Medicare Managed Care Plan | $600.35 | — |
| Amerigroup | Medicare Managed Care Plan | $611.47 | — |
| Cigna | Medicare Managed Care Plan | $667.06 | — |
| Kaiser | All Commercial Plans | $833.82 | — |
| Community Health Plan | Cascade Care Exchange | $889.41 | — |
| Blue Cross | Premera Lifewise Exchange | $1,000.58 | — |
| Coordinated Care | Ambetter Exchange | $1,028.38 | — |
| Providence Health Plan | Signature/Choice Network Other Commercial Plan | $1,411.94 | — |
| First Choice | All Commercial Plans | $1,812.52 | — |
| First Choice | Health Administrators All Commercial Plans | $2,039.09 | — |
Visitor-reported prices
Comments
Afo tibial fracture soft at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $737.28 | $555.88 – $1,688.76 |
| Swedish Medical Center Cherry Hill | Seattle | $737.28 | $555.88 – $1,359.39 |
| Swedish Issaquah | Issaquah | $737.28 | $555.88 – $1,234.05 |
| Kadlec Regional Medical Center | Richland | $132.59 | $555.88 – $1,028.38 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $555.88 – $611.47 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $555.88 – $1,414.71 |
| Providence Centralia Hospital | Centralia | not published | $555.88 – $1,051.26 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | not published | $555.88 – $1,289.64 |