Revise hip joint replacement at Providence Holy Family Hospital
5633 N Lidgerwood, Spokane, WA · Providence · · NPI 1225289895
not published by hospital
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.
not published by hospital
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.
$2,985.00 with Cigna vs $52,450.95 with Unitedhealthcare — 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 |
|---|---|---|---|
| Cigna | All Commercial Plans | $2,985.00 | — |
| Kaiser | Medicare Managed Care Plan | $14,306.71 | — |
| Blue Cross | Premera Medicare Managed Care Plan | $14,878.98 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $15,308.18 | — |
| Blue Shield | Asuris Medicare Managed Care Plan | $15,451.25 | — |
| Amerigroup | Medicare Managed Care Plan | $15,737.38 | — |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $17,168.05 | — |
| Aetna | All Commercial Plans | $17,427.00 | — |
| Community Health Plan | Cascade Care Exchange | $22,890.74 | — |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $25,752.08 | — |
| Coordinated Care | Ambetter Exchange | $26,467.42 | — |
| Providence Health Plan | Signature/Choice/Extend Ppo Networks Other Commercial Plan | $37,555.12 | — |
| Kaiser | All Commercial Plans | $44,036.06 | — |
| Blue Shield | Asuris All Commercial Plans | $48,389.62 | — |
| Unitedhealthcare | Navigate Exchange | $50,877.84 | — |
| Unitedhealthcare | All Commercial Plans | $52,450.95 | — |
Visitor-reported prices
Comments
Revise hip joint replacement at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $4,776.42 – $15,737.38 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $5,419.00 – $36,410.58 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $7,277.00 – $45,166.13 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $7,277.00 – $34,788.92 |
| Swedish Issaquah | Issaquah | not published | $7,277.00 – $33,097.47 |
| Providence Centralia Hospital | Centralia | not published | $7,556.33 – $27,504.06 |
| Swedish Edmonds Hospital | Edmonds | not published | $3,294.00 – $37,136.65 |
| Providence St Mary Medical Center | Walla Walla | not published | $11,452.73 – $26,467.42 |