Inj. acthar gel to 40 units at Providence Holy Family Hospital
5633 N Lidgerwood, Spokane, WA · Providence · · NPI 1225289895
$6,645.63
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.
$9,493.75
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.
$4,094.26 with Kaiser vs $12,602.13 with Kaiser — 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 |
|---|---|---|---|
| Kaiser | Medicare Managed Care Plan | $4,094.26 | ↓ -38% |
| Blue Cross | Premera All Commercial Plans | $4,095.32 | ↓ -38% |
| Blue Cross | Premera Heritage Exchange | $4,095.32 | ↓ -38% |
| Blue Cross | Premera Medicare Managed Care Plan | $4,258.03 | ↓ -36% |
| Unitedhealthcare | Medicare Managed Care Plan | $4,380.86 | ↓ -34% |
| Blue Shield | Asuris Medicare Managed Care Plan | $4,421.80 | ↓ -33% |
| Amerigroup | Medicare Managed Care Plan | $4,503.68 | ↓ -32% |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $4,913.11 | ↓ -26% |
| Blue Shield | Asuris All Commercial Plans | $5,219.30 | ↓ -21% |
| Community Health Plan | Cascade Care Exchange | $6,550.81 | ↓ -1% |
| Cigna | All Commercial Plans | $7,199.18 | ↑ +8% |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $7,369.67 | ↑ +11% |
| Coordinated Care | Ambetter Exchange | $7,574.38 | ↑ +14% |
| Aetna | All Commercial Plans | $8,421.22 | ↑ +27% |
| Providence Health Plan | Signature/Choice/Extend Ppo Networks Other Commercial Plan | $10,747.43 | ↑ +62% |
| Kaiser | All Commercial Plans | $12,602.13 | ↑ +90% |
Visitor-reported prices
Comments
Inj. acthar gel to 40 units at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $6,645.63 | $3,194.35 – $10,419.89 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $3,479.53 – $12,438.36 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $3,479.53 – $9,580.57 |
| Swedish Issaquah | Issaquah | not published | $3,479.53 – $9,089.25 |
| Providence Centralia Hospital | Centralia | not published | $3,479.53 – $24,976.01 |
| Swedish Edmonds Hospital | Edmonds | not published | $4,094.26 – $10,399.42 |
| Providence St Mary Medical Center | Walla Walla | not published | $3,479.53 – $21,516.59 |
| Kadlec Regional Medical Center | Richland | not published | $4,094.26 – $7,574.38 |