Tlso 3mod sacro-scap pre at Swedish Edmonds Hospital
21601 76th Ave W, Edmonds, WA · Providence · · NPI 1225289499
$656.40
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.
$1,367.50
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.
$1,497.69 with Kaiser vs $5,493.96 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 | $1,497.69 | ↑ +128% |
| Aetna | Medicare Managed Care - Hmo | $1,542.62 | ↑ +135% |
| Aetna | Medicare Managed Care - Ppo | $1,557.60 | ↑ +137% |
| Unitedhealthcare | Medicare Managed Care Plan | $1,572.57 | ↑ +140% |
| Humana | Choice Care Medicare Managed Care Plan | $1,587.55 | ↑ +142% |
| Blue Shield | Regence Medicare Managed Care Plan | $1,617.51 | ↑ +146% |
| Amerigroup | Medicare Managed Care Plan | $1,647.46 | ↑ +151% |
| Cigna | Medicare Managed Care Plan | $1,797.23 | ↑ +174% |
| Kaiser | All Commercial Plans | $2,246.54 | ↑ +242% |
| Community Health Plan | Cascade Care Exchange | $2,396.30 | ↑ +265% |
| Blue Cross | Premera Lifewise Exchange | $2,695.84 | ↑ +311% |
| Coordinated Care | Ambetter Exchange | $2,770.73 | ↑ +322% |
| Providence Health Plan | Signature/Choice Network Other Commercial Plan | $3,804.13 | ↑ +480% |
| First Choice | All Commercial Plans | $4,883.52 | ↑ +644% |
| First Choice | Health Administrators All Commercial Plans | $5,493.96 | ↑ +737% |
Visitor-reported prices
Comments
Tlso 3mod sacro-scap pre at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $752.50 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $1,986.72 | $1,497.69 – $4,549.98 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $792.93 | $1,497.69 – $3,811.62 |
| Swedish Medical Center Cherry Hill | Seattle | $1,986.72 | $1,497.69 – $3,662.64 |
| Swedish Issaquah | Issaquah | $1,986.72 | $1,497.69 – $3,324.87 |
| Providence Centralia Hospital | Centralia | $975.00 | $1,497.69 – $2,832.44 |
| Providence Mount Carmel Hospital | Colville | $752.50 | not published |
| Providence St Mary Medical Center | Walla Walla | $700.00 | not published |