Group train without patient at Swedish Issaquah
751 NE Blakely Dr, Issaquah, WA · Providence · · NPI 1851686059
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$33.59 with Kaiser vs $142.46 with Unitedhealthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $33.59 | — |
| Aetna | Medicare Managed Care - Hmo | $34.59 | — |
| Aetna | Medicare Managed Care - Ppo | $34.93 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $35.27 | — |
| Humana | Choice Care Medicare Managed Care Plan | $35.60 | — |
| Blue Shield | Regence Medicare Managed Care Plan | $36.27 | — |
| Amerigroup | Medicare Managed Care Plan | $36.95 | — |
| Cigna | Medicare Managed Care Plan | $40.30 | — |
| Kaiser | All Commercial Plans | $50.38 | — |
| Community Health Plan | Cascade Care Exchange | $53.74 | — |
| Blue Cross | Premera Lifewise Exchange | $60.46 | — |
| Coordinated Care | Ambetter Exchange | $62.14 | — |
| Providence Health Plan | Signature/Choice Network Other Commercial Plan | $74.56 | — |
| Unitedhealthcare | Navigate Exchange | $101.86 | — |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $111.46 | — |
| Unitedhealthcare | All Commercial Plans | $142.46 | — |
Visitor-reported prices
Comments
Group train without patient at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Regional Medical Center Everett - Colby Campus | Everett | $40.56 | $32.94 – $76.42 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $32.23 – $35.45 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $33.49 – $101.75 |
| Providence St Mary Medical Center | Walla Walla | not published | $32.23 – $59.63 |
| Kadlec Regional Medical Center | Richland | not published | $32.23 – $59.63 |
| Providence Holy Family Hospital | Spokane | not published | $32.23 – $84.61 |