Physical Therapy Evaluation (moderate complexity) at Swedish Issaquah
751 NE Blakely Dr, Issaquah, WA · Providence · · NPI 1851686059
$254.88
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.
$531.00
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.
$80.72 with Unitedhealthcare vs $387.08 with Aetna — 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 |
|---|---|---|---|
| Unitedhealthcare | Navigate Exchange | $80.72 | ↓ -68% |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $100.90 | ↓ -60% |
| Aetna | Medicare Managed Care - Hmo | $103.93 | ↓ -59% |
| Aetna | Medicare Managed Care - Ppo | $104.94 | ↓ -59% |
| Unitedhealthcare | Medicare Managed Care Plan | $105.94 | ↓ -58% |
| Humana | Choice Care Medicare Managed Care Plan | $106.95 | ↓ -58% |
| Blue Shield | Regence Medicare Managed Care Plan | $108.97 | ↓ -57% |
| Unitedhealthcare | All Commercial Plans | $110.99 | ↓ -56% |
| Cigna | Medicare Managed Care Plan | $121.08 | ↓ -52% |
| Kaiser | All Commercial Plans | $151.35 | ↓ -41% |
| Blue Cross | Premera Heritage Signature Exchange | $153.81 | ↓ -40% |
| Community Health Plan | Cascade Care Exchange | $161.44 | ↓ -37% |
| First Choice | Health Administrators All Commercial Plans | $166.63 | ↓ -35% |
| Blue Cross | Premera All Commercial Plans | $180.95 | ↓ -29% |
| Blue Cross | Premera Lifewise Exchange | $181.62 | ↓ -29% |
| Coordinated Care | Ambetter Exchange | $186.67 | ↓ -27% |
| Providence Health Plan | Signature/Choice Network Other Commercial Plan | $224.00 | ↓ -12% |
| First Choice | All Commercial Plans | $228.01 | ↓ -11% |
| Aetna | All Commercial Plans | $387.08 | ↑ +52% |
Visitor-reported prices
Comments
Physical Therapy Evaluation (moderate complexity) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $304.30 | $100.90 – $110.99 |
| Providence St Joseph Hospital | Chewelah | $123.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $254.88 | $80.72 – $306.53 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $471.10 | $100.90 – $256.79 |
| Swedish Medical Center Cherry Hill | Seattle | $254.88 | $80.72 – $263.09 |
| Central Medical Center | Seattle | $312.00 | not published |
| Providence Centralia Hospital | Centralia | $224.64 | $100.90 – $203.46 |
| Providence Mount Carmel Hospital | Colville | $123.20 | not published |