Cltx thigh fx w/mnpj at Kadlec Regional Medical Center
888 Swift Blvd, Richland, WA · Providence · · NPI 1972507580
$3,938.20
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.
$5,626.00
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.
$932.28 with Bcbs vs $7,909.00 with Cigna — 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 |
|---|---|---|---|
| Bcbs | Asuris All Commercial Plans | $932.28 | ↓ -76% |
| Kaiser | Medicare Managed Care Plan | $1,791.86 | ↓ -55% |
| Aetna | Medicare Managed Care - Hmo | $1,845.61 | ↓ -53% |
| Aetna | Medicare Managed Care - Ppo | $1,863.53 | ↓ -53% |
| Unitedhealthcare | Medicare Managed Care Plan | $1,917.29 | ↓ -51% |
| Asuris | Medicare Managed Care Plan | $1,935.21 | ↓ -51% |
| Amerigroup | Wellpoint Medicare Managed Care Plan | $1,971.04 | ↓ -50% |
| Cigna | Medicare Managed Care Plan | $2,150.23 | ↓ -45% |
| Molina | Exchange | $3,028.24 | ↓ -23% |
| Bcbs | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $3,225.34 | ↓ -18% |
| Coordinated Care | Exchange | $3,314.93 | ↓ -16% |
| Kaiser | All Commercial Plans | $5,033.33 | ↑ +28% |
| Cigna | All Commercial Plans | $7,909.00 | ↑ +101% |
Visitor-reported prices
Comments
Cltx thigh fx w/mnpj at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $3,388.70 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,146.50 | $1,791.86 – $4,560.28 |
| Providence Mount Carmel Hospital | Colville | $4,074.00 | not published |
| Providence St Mary Medical Center | Walla Walla | $3,276.70 | $1,791.86 – $3,314.93 |
| Providence Holy Family Hospital | Spokane | $3,348.10 | $1,791.86 – $4,703.62 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $1,252.68 | $1,831.19 – $7,246.00 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $1,722.34 – $1,971.04 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $1,862.04 – $7,912.38 |