Upper ext fx orthosis rad/ul at Swedish Edmonds Hospital
21601 76th Ave W, Edmonds, WA · Providence · · NPI 1225289499
$1,298.10
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.
$2,704.37
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.
$419.78 with Kaiser vs $1,539.90 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 | $419.78 | ↓ -68% |
| Aetna | Medicare Managed Care - Hmo | $432.37 | ↓ -67% |
| Aetna | Medicare Managed Care - Ppo | $436.57 | ↓ -66% |
| Unitedhealthcare | Medicare Managed Care Plan | $440.77 | ↓ -66% |
| Humana | Choice Care Medicare Managed Care Plan | $444.97 | ↓ -66% |
| Blue Shield | Regence Medicare Managed Care Plan | $453.36 | ↓ -65% |
| Amerigroup | Medicare Managed Care Plan | $461.76 | ↓ -64% |
| Cigna | Medicare Managed Care Plan | $503.74 | ↓ -61% |
| Kaiser | All Commercial Plans | $629.67 | ↓ -51% |
| Community Health Plan | Cascade Care Exchange | $671.65 | ↓ -48% |
| Blue Cross | Premera Lifewise Exchange | $755.60 | ↓ -42% |
| Coordinated Care | Ambetter Exchange | $776.59 | ↓ -40% |
| Providence Health Plan | Signature/Choice Network Other Commercial Plan | $1,066.24 | ↓ -18% |
| First Choice | All Commercial Plans | $1,368.80 | ↑ +5% |
| First Choice | Health Administrators All Commercial Plans | $1,539.90 | ↑ +19% |
Visitor-reported prices
Comments
Upper ext fx orthosis rad/ul at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $1,187.66 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $1,298.10 | $419.78 – $1,275.29 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,245.60 | $419.78 – $1,068.34 |
| Swedish Medical Center Cherry Hill | Seattle | $1,298.10 | $419.78 – $1,026.60 |
| Swedish Issaquah | Issaquah | $1,298.10 | $419.78 – $931.91 |
| Providence Centralia Hospital | Centralia | $1,991.78 | $419.78 – $793.90 |
| Providence Mount Carmel Hospital | Colville | $1,187.66 | not published |
| Providence St Mary Medical Center | Walla Walla | $1,259.64 | not published |