Complex simulation w/pet-ct at Providence St Peter Hospital
413 Lilly Rd NE, Olympia, WA · Providence · · NPI 1346250594
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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$1,866.33 with Unitedhealthcare vs $8,577.94 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 |
|---|---|---|---|
| Unitedhealthcare | Navigate Other Commercial Plan | $1,866.33 | — |
| Kaiser | Medicare Managed Care Plan | $2,195.68 | — |
| Aetna | Gatekeeper Medicare Managed Care - Hmo | $2,261.55 | — |
| Aetna | Non-Gatekeeper Medicare Managed Care - Ppo | $2,283.50 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $2,349.38 | — |
| Blue Shield | Regence Medicare Managed Care Plan | $2,371.33 | — |
| Humana | Medicare Managed Care Plan | $2,415.25 | — |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $2,634.81 | — |
| Community Health Plan | Medicare Managed Care Plan | $3,513.08 | — |
| Molina | Exchange | $3,710.70 | — |
| Blue Cross | Premera Lifewise Exchange | $3,952.22 | — |
| Coordinated Care | Ambetter Exchange | $4,062.00 | — |
| Blue Shield | Regence Uniform Medical Plan Other Commercial Plan | $4,550.71 | — |
| Blue Shield | Regence All Commercial Plans | $6,981.81 | — |
| Kaiser | All Commercial Plans | $6,986.65 | — |
| Providence Health Plan | Signature/Choice Network Other Commercial Plan | $7,168.89 | — |
| Unitedhealthcare | All Commercial Plans | $8,577.94 | — |
Visitor-reported prices
Comments
Complex simulation w/pet-ct at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | not published | $2,210.77 – $6,716.33 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $2,127.45 – $5,414.36 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $2,210.77 – $5,173.21 |
| Swedish Issaquah | Issaquah | not published | $2,216.98 – $4,921.69 |
| Providence Centralia Hospital | Centralia | not published | $2,210.77 – $4,089.93 |
| Swedish Edmonds Hospital | Edmonds | not published | $2,174.14 – $5,522.33 |
| Providence St Mary Medical Center | Walla Walla | not published | $1,813.97 – $3,935.78 |
| Providence Holy Family Hospital | Spokane | not published | $2,127.45 – $5,584.55 |