Complex simulation w/pet-ct at Providence Sacred Heart Medical Center and Children's Hospital
101 W 8th Ave, Spokane, WA · Providence · · NPI 1891947263
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.
$2,127.45 with Kaiser vs $7,057.80 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 |
|---|---|---|---|
| Kaiser | Medicare Managed Care Plan | $2,127.45 | — |
| Aetna | Medicare Managed Care - Hmo | $2,191.27 | — |
| Aetna | Medicare Managed Care - Ppo | $2,212.55 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $2,233.82 | — |
| Blue Shield | Asuris Medicare Managed Care Plan | $2,297.65 | — |
| Community Health Plan | Medicare Managed Care Plan | $2,340.19 | — |
| Cigna | Medicare Managed Care Plan | $2,552.94 | — |
| Molina | Exchange | $3,595.39 | — |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $3,829.41 | — |
| Coordinated Care | Exchange | $3,935.78 | — |
| Kaiser | All Commercial Plans | $5,363.30 | — |
| Blue Shield | Asuris All Commercial Plans | $5,400.74 | — |
| Providence Health Plan | All Commercial Plans | $5,414.36 | — |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $5,738.78 | — |
| Unitedhealthcare | Navigate Exchange | $6,277.53 | — |
| Unitedhealthcare | All Commercial Plans | $7,057.80 | — |
Visitor-reported prices
Comments
Complex simulation w/pet-ct at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Holy Family Hospital | Spokane | not published | $2,127.45 – $5,584.55 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $2,210.77 – $6,716.33 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $2,210.77 – $5,173.21 |
| Swedish Issaquah | Issaquah | not published | $2,216.98 – $4,921.69 |
| Providence Centralia Hospital | Centralia | not published | $2,210.77 – $4,089.93 |
| Swedish Edmonds Hospital | Edmonds | not published | $2,174.14 – $5,522.33 |
| Providence St Mary Medical Center | Walla Walla | not published | $1,813.97 – $3,935.78 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | not published | $2,174.14 – $5,044.01 |