Bhv id assmt by phys/qhp at Providence Regional Medical Center Everett - Colby Campus
1321 Colby Ave, Everett, WA · Providence · · NPI 1700037801
$318.24
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.
$612.00
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.
$34.16 with Aetna vs $358.80 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 |
|---|---|---|---|
| Aetna | Whole Health Hospital Joint Product Other Commercial Plan | $34.16 | ↓ -89% |
| Aetna | All Commercial Plans | $43.37 | ↓ -86% |
| First Choice | All Commercial Plans | $114.74 | ↓ -64% |
| Kaiser | Medicare Managed Care Plan | $115.69 | ↓ -64% |
| Aetna | Gatekeeper Medicare Managed Care - Hmo | $119.16 | ↓ -63% |
| Aetna | Non-Gatekeeper Medicare Managed Care - Ppo | $120.32 | ↓ -62% |
| Unitedhealthcare | Medicare Managed Care Plan | $121.48 | ↓ -62% |
| Blue Shield | Regence Medicare Managed Care - Ppo | $124.95 | ↓ -61% |
| Amerigroup | Medicare Managed Care Plan | $127.26 | ↓ -60% |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $138.83 | ↓ -56% |
| Kaiser | All Commercial Plans | $173.54 | ↓ -45% |
| Community Health Plan | Cascade Care Exchange | $185.10 | ↓ -42% |
| Blue Cross | Premera Heritage Exchange | $187.32 | ↓ -41% |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $208.24 | ↓ -35% |
| Coordinated Care | Ambetter Exchange | $214.03 | ↓ -33% |
| Blue Cross | Premera All Commercial Plans | $225.39 | ↓ -29% |
| Providence Health Plan | Signature/Choice/Extend Ppo Networks Other Commercial Plan | $268.40 | ↓ -16% |
| Unitedhealthcare | Navigate Exchange | $294.22 | ↓ -8% |
| Unitedhealthcare | All Commercial Plans | $358.80 | ↑ +13% |
Visitor-reported prices
Comments
Bhv id assmt by phys/qhp at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | not published | $117.64 – $357.39 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $98.35 – $288.11 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $117.64 – $275.28 |
| Swedish Issaquah | Issaquah | not published | $117.97 – $261.89 |
| Providence Centralia Hospital | Centralia | not published | $117.64 – $217.63 |
| Swedish Edmonds Hospital | Edmonds | not published | $115.69 – $293.85 |
| Providence St Mary Medical Center | Walla Walla | not published | $43.37 – $209.43 |
| Kadlec Regional Medical Center | Richland | not published | $45.33 – $209.43 |