Occupational Therapy Evaluation (moderate complexity) at Swedish Edmonds Hospital
21601 76th Ave W, Edmonds, WA · Providence · · NPI 1225289499
$290.40
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.
$605.00
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.
$114.12 with Unitedhealthcare vs $417.38 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 |
|---|---|---|---|
| Unitedhealthcare | Aco Tiered/Doctors Plan Other Commercial Plan | $114.12 | ↓ -61% |
| Aetna | Medicare Managed Care - Hmo | $117.54 | ↓ -60% |
| Aetna | Medicare Managed Care - Ppo | $118.68 | ↓ -59% |
| Unitedhealthcare | Medicare Managed Care Plan | $119.83 | ↓ -59% |
| Humana | Choice Care Medicare Managed Care Plan | $120.97 | ↓ -58% |
| Blue Shield | Regence Medicare Managed Care Plan | $123.25 | ↓ -58% |
| Unitedhealthcare | All Commercial Plans | $125.53 | ↓ -57% |
| Cigna | Medicare Managed Care Plan | $136.94 | ↓ -53% |
| Kaiser | All Commercial Plans | $171.18 | ↓ -41% |
| Blue Cross | Premera Heritage Exchange | $176.70 | ↓ -39% |
| Community Health Plan | Cascade Care Exchange | $182.59 | ↓ -37% |
| Aetna | Whole Health Other Commercial Plan | $196.25 | ↓ -32% |
| Blue Cross | Premera Lifewise Exchange | $205.42 | ↓ -29% |
| Blue Cross | Premera All Commercial Plans | $208.18 | ↓ -28% |
| Coordinated Care | Ambetter Exchange | $211.12 | ↓ -27% |
| Providence Health Plan | Signature/Choice Network Other Commercial Plan | $289.86 | ↓ -0% |
| Aetna | All Commercial Plans | $330.11 | ↑ +14% |
| First Choice | All Commercial Plans | $371.00 | ↑ +28% |
| First Choice | Health Administrators All Commercial Plans | $417.38 | ↑ +44% |
Visitor-reported prices
Comments
Occupational Therapy Evaluation (moderate complexity) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $304.30 | $114.12 – $125.53 |
| Providence St Joseph Hospital | Chewelah | $187.60 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $290.40 | $91.30 – $346.70 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $364.70 | $114.12 – $290.44 |
| Swedish Medical Center Cherry Hill | Seattle | $290.40 | $91.30 – $278.25 |
| Swedish Issaquah | Issaquah | $290.40 | $91.30 – $253.35 |
| Central Medical Center | Seattle | $312.80 | not published |
| Providence Centralia Hospital | Centralia | $175.24 | $114.12 – $215.18 |