Lev 4 hosp type b ed visit at Providence Holy Family Hospital
5633 N Lidgerwood, Spokane, WA · Providence · · NPI 1225289895
$694.40
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.
$992.00
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.
$294.53 with Kaiser vs $1,102.83 with Blue Shield — 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 | $294.53 | ↓ -58% |
| Blue Cross | Premera Medicare Managed Care Plan | $306.31 | ↓ -56% |
| Unitedhealthcare | Medicare Managed Care Plan | $315.14 | ↓ -55% |
| Blue Shield | Asuris Medicare Managed Care Plan | $318.09 | ↓ -54% |
| Amerigroup | Medicare Managed Care Plan | $323.98 | ↓ -53% |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $353.43 | ↓ -49% |
| Community Health Plan | Cascade Care Exchange | $471.24 | ↓ -32% |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $530.15 | ↓ -24% |
| Coordinated Care | Ambetter Exchange | $544.88 | ↓ -22% |
| Blue Cross | Premera Heritage Exchange | $653.65 | ↓ -6% |
| Providence Health Plan | Signature/Choice/Extend Ppo Networks Other Commercial Plan | $773.13 | ↑ +11% |
| Blue Cross | Premera All Commercial Plans | $836.38 | ↑ +20% |
| Kaiser | All Commercial Plans | $906.55 | ↑ +31% |
| Unitedhealthcare | Navigate Exchange | $1,047.40 | ↑ +51% |
| Unitedhealthcare | All Commercial Plans | $1,079.79 | ↑ +55% |
| Blue Shield | Asuris All Commercial Plans | $1,102.83 | ↑ +59% |
Visitor-reported prices
Comments
Lev 4 hosp type b ed visit at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $638.40 | $294.53 – $749.57 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $294.53 – $323.98 |
| Providence St Joseph Hospital | Chewelah | $465.50 | not published |
| Providence St Mary Medical Center | Walla Walla | $775.60 | $261.01 – $544.88 |
| Kadlec Regional Medical Center | Richland | $731.50 | $294.53 – $793.50 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $306.06 – $988.32 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $306.06 – $951.79 |
| Swedish Issaquah | Issaquah | not published | $306.92 – $988.32 |