Inj, eteplirsen, 10 mg 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.
$167.51 with Kaiser vs $603.15 with Unitedhealthcare — 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 | $167.51 | — |
| Aetna | Medicare Managed Care - Hmo | $172.54 | — |
| Aetna | Medicare Managed Care - Ppo | $174.21 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $175.89 | — |
| Providence Health Plan | Signature/Choice Network Other Commercial Plan | $176.00 | — |
| Humana | Choice Care Medicare Managed Care Plan | $177.56 | — |
| Blue Shield | Regence Medicare Managed Care Plan | $180.91 | — |
| Amerigroup | Medicare Managed Care Plan | $184.26 | — |
| Cigna | Medicare Managed Care Plan | $201.02 | — |
| Kaiser | All Commercial Plans | $251.27 | — |
| Community Health Plan | Cascade Care Exchange | $268.02 | — |
| Blue Cross | Premera Lifewise Exchange | $301.52 | — |
| Coordinated Care | Ambetter Exchange | $309.90 | — |
| First Choice | Health Administrators All Commercial Plans | $360.02 | — |
| First Choice | All Commercial Plans | $383.47 | — |
| Unitedhealthcare | Aco Tiered/Doctors Plan Other Commercial Plan | $510.60 | — |
| Unitedhealthcare | All Commercial Plans | $603.15 | — |
Visitor-reported prices
Comments
Inj, eteplirsen, 10 mg at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | not published | $167.51 – $462.17 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $167.51 – $385.14 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $167.51 – $334.91 |
| Swedish Issaquah | Issaquah | not published | $167.51 – $462.17 |
| Providence Centralia Hospital | Centralia | not published | $167.51 – $483.94 |
| Providence St Mary Medical Center | Walla Walla | not published | $167.51 – $309.90 |
| Kadlec Regional Medical Center | Richland | not published | $167.51 – $378.44 |
| Providence Holy Family Hospital | Spokane | not published | $167.51 – $326.40 |