Shoulder AC Joint X-ray (both sides) 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.
$62.44 with Aetna vs $399.05 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 |
|---|---|---|---|
| Aetna | Whole Health Other Commercial Plan | $62.44 | — |
| Aetna | All Commercial Plans | $82.70 | — |
| Kaiser | Medicare Managed Care Plan | $99.10 | — |
| Aetna | Medicare Managed Care - Hmo | $102.08 | — |
| Aetna | Medicare Managed Care - Ppo | $103.07 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $104.06 | — |
| Humana | Choice Care Medicare Managed Care Plan | $105.05 | — |
| Blue Shield | Regence Medicare Managed Care Plan | $107.03 | — |
| Amerigroup | Medicare Managed Care Plan | $109.01 | — |
| Cigna | Medicare Managed Care Plan | $118.93 | — |
| Kaiser | All Commercial Plans | $148.66 | — |
| Community Health Plan | Cascade Care Exchange | $158.57 | — |
| Blue Cross | Premera Lifewise Exchange | $178.39 | — |
| Coordinated Care | Ambetter Exchange | $183.34 | — |
| Blue Cross | Premera Heritage Exchange | $227.32 | — |
| Blue Shield | Regence All Commercial Plans | $236.38 | — |
| Providence Health Plan | Signature/Choice Network Other Commercial Plan | $251.73 | — |
| Blue Shield | Uniform Medical Plan Exchange | $258.09 | — |
| Blue Cross | Premera All Commercial Plans | $270.75 | — |
| Cigna | All Commercial Plans | $282.93 | — |
| Unitedhealthcare | Aco Tiered/Doctors Plan Other Commercial Plan | $302.08 | — |
| Unitedhealthcare | All Commercial Plans | $356.84 | — |
| First Choice | Health Administrators All Commercial Plans | $359.15 | — |
| First Choice | All Commercial Plans | $399.05 | — |
Visitor-reported prices
Comments
Shoulder AC Joint X-ray (both sides) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $485.80 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $264.48 | $100.77 – $375.11 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $535.50 | $96.98 – $287.32 |
| Swedish Medical Center Cherry Hill | Seattle | $264.48 | $100.77 – $363.14 |
| Swedish Issaquah | Issaquah | $264.48 | $82.93 – $375.11 |
| Central Medical Center | Seattle | $304.00 | $89.00 – $89.00 |
| Providence Centralia Hospital | Centralia | $206.96 | $100.77 – $497.22 |
| Providence Mount Carmel Hospital | Colville | $532.70 | not published |