Knee Arthroscopy (Cartilage Smoothing) 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.
$3,646.14 with Kaiser vs $20,964.00 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 | $3,646.14 | — |
| Aetna | Medicare Managed Care - Hmo | $3,755.52 | — |
| Aetna | Medicare Managed Care - Ppo | $3,791.98 | — |
| Unitedhealthcare | Medicare Managed Care Plan | $3,828.44 | — |
| Blue Shield | Asuris Medicare Managed Care Plan | $3,937.83 | — |
| Community Health Plan | Medicare Managed Care Plan | $4,010.75 | — |
| Cigna | Medicare Managed Care Plan | $4,375.36 | — |
| Molina | Exchange | $6,161.97 | — |
| Blue Cross | Premera Heritage Signature Exchange | $6,501.81 | — |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $6,563.04 | — |
| Coordinated Care | Exchange | $6,745.35 | — |
| Blue Cross | Premera All Commercial Plans | $8,401.67 | — |
| First Choice | All Commercial Plans | $8,486.10 | — |
| Kaiser | All Commercial Plans | $9,191.91 | — |
| Providence Health Plan | All Commercial Plans | $9,279.41 | — |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $9,835.43 | — |
| Unitedhealthcare | Navigate Exchange | $10,758.75 | — |
| Cigna | All Commercial Plans | $11,397.00 | — |
| Unitedhealthcare | All Commercial Plans | $12,096.03 | — |
| Aetna | All Commercial Plans | $20,964.00 | — |
Visitor-reported prices
Comments
Knee Arthroscopy (Cartilage Smoothing) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $3,646.14 – $4,010.75 |
| Providence Holy Family Hospital | Spokane | not published | $3,646.14 – $15,653.00 |
| MultiCare Deaconess Hospital | Spokane | not published | $1,527.26 – $13,275.90 |
| Virginia Mason Medical Center | Seattle | $4,773.09 | $18.37 – $2,687.51 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $3,788.94 – $13,331.38 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $3,788.94 – $12,838.64 |
| Swedish Issaquah | Issaquah | not published | $3,799.57 – $13,331.38 |
| Central Medical Center | Seattle | not published | not published |