Physical Therapy Re-Evaluation at Providence Holy Family Hospital
5633 N Lidgerwood, Spokane, WA · Providence · · NPI 1225289895
$72.10
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.
$103.00
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.
$69.67 with Kaiser vs $321.26 with Aetna — 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 | $69.67 | ↓ -3% |
| Blue Cross | Premera Medicare Managed Care Plan | $72.46 | ↑ +0% |
| Unitedhealthcare | Medicare Managed Care Plan | $74.55 | ↑ +3% |
| Blue Shield | Asuris Medicare Managed Care Plan | $75.24 | ↑ +4% |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $76.64 | ↑ +6% |
| Blue Cross | Premera Heritage Exchange | $109.74 | ↑ +52% |
| Community Health Plan | Cascade Care Exchange | $111.47 | ↑ +55% |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $125.41 | ↑ +74% |
| Coordinated Care | Ambetter Exchange | $128.89 | ↑ +79% |
| Blue Cross | Premera All Commercial Plans | $139.80 | ↑ +94% |
| Providence Health Plan | Signature/Choice/Extend Ppo Networks Other Commercial Plan | $182.88 | ↑ +154% |
| Kaiser | All Commercial Plans | $214.44 | ↑ +197% |
| Aetna | All Commercial Plans | $321.26 | ↑ +346% |
Visitor-reported prices
Comments
Physical Therapy Re-Evaluation at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $123.19 | $69.67 – $76.64 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $287.70 | $69.67 – $177.31 |
| MultiCare Deaconess Hospital | Spokane | $114.40 | $41.47 – $314.39 |
| Providence St Joseph Hospital | Chewelah | $52.50 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $124.80 | $55.74 – $211.66 |
| Swedish Medical Center Cherry Hill | Seattle | $124.80 | $55.74 – $180.81 |
| Swedish Issaquah | Issaquah | $124.80 | $55.74 – $154.67 |
| Central Medical Center | Seattle | $188.80 | not published |