Upper Back (Thoracic Spine) X-ray (3 views) at Kadlec Regional Medical Center
888 Swift Blvd, Richland, WA · Providence · · NPI 1972507580
$565.60
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.
$808.00
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.
$67.12 with Bcbs vs $438.23 with First Choice — 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 | $67.12 | ↓ -88% |
| Kaiser | Medicare Managed Care Plan | $116.50 | ↓ -79% |
| Aetna | Medicare Managed Care - Hmo | $119.99 | ↓ -79% |
| Aetna | Medicare Managed Care - Ppo | $121.16 | ↓ -79% |
| Unitedhealthcare | Medicare Managed Care Plan | $124.65 | ↓ -78% |
| Asuris | Medicare Managed Care Plan | $125.82 | ↓ -78% |
| Amerigroup | Wellpoint Medicare Managed Care Plan | $128.15 | ↓ -77% |
| Cigna | Medicare Managed Care Plan | $139.80 | ↓ -75% |
| Molina | Exchange | $196.88 | ↓ -65% |
| Bcbs | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $209.70 | ↓ -63% |
| Coordinated Care | Exchange | $215.52 | ↓ -62% |
| Bcbs | Premera Heritage Signature All Commercial Plans | $298.35 | ↓ -47% |
| Bcbs | Premera All Commercial Plans | $306.78 | ↓ -46% |
| Kaiser | All Commercial Plans | $327.25 | ↓ -42% |
| Cigna | All Commercial Plans | $376.53 | ↓ -33% |
| First Choice | All Commercial Plans | $438.23 | ↓ -23% |
Visitor-reported prices
Comments
Upper Back (Thoracic Spine) X-ray (3 views) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $682.92 | $35.58 – $128.15 |
| Providence St Joseph Hospital | Chewelah | $564.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $488.16 | $121.06 – $526.78 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $584.50 | $116.50 – $403.49 |
| Swedish Medical Center Cherry Hill | Seattle | $488.16 | $121.06 – $509.96 |
| Swedish Issaquah | Issaquah | $488.16 | $119.05 – $526.78 |
| Central Medical Center | Seattle | $368.00 | $107.00 – $107.00 |
| Providence Centralia Hospital | Centralia | $421.20 | $121.06 – $698.26 |