Occupational Therapy Evaluation (low complexity) at Providence Sacred Heart Medical Center and Children's Hospital
101 W 8th Ave, Spokane, WA · Providence · · NPI 1891947263
$347.20
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.
$496.00
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.
$114.12 with Unitedhealthcare vs $524.72 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 |
|---|---|---|---|
| Unitedhealthcare | Navigate Exchange | $114.12 | ↓ -67% |
| Aetna | Medicare Managed Care - Hmo | $117.54 | ↓ -66% |
| Aetna | Medicare Managed Care - Ppo | $118.68 | ↓ -66% |
| Unitedhealthcare | Medicare Managed Care Plan | $119.83 | ↓ -65% |
| Blue Shield | Asuris Medicare Managed Care Plan | $123.25 | ↓ -65% |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $125.53 | ↓ -64% |
| Cigna | Medicare Managed Care Plan | $136.94 | ↓ -61% |
| Blue Cross | Premera Heritage Signature Exchange | $159.43 | ↓ -54% |
| First Choice | All Commercial Plans | $176.91 | ↓ -49% |
| Molina | Exchange | $192.86 | ↓ -44% |
| Blue Cross | Premera All Commercial Plans | $203.10 | ↓ -42% |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $205.42 | ↓ -41% |
| Coordinated Care | Exchange | $211.12 | ↓ -39% |
| Kaiser | All Commercial Plans | $287.70 | ↓ -17% |
| Providence Health Plan | All Commercial Plans | $290.44 | ↓ -16% |
| Unitedhealthcare | All Commercial Plans | $378.59 | ↑ +9% |
| Aetna | All Commercial Plans | $524.72 | ↑ +51% |
Visitor-reported prices
Comments
Occupational Therapy Evaluation (low complexity) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $299.90 | $114.12 – $125.53 |
| Providence Holy Family Hospital | Spokane | $182.00 | $114.12 – $450.82 |
| MultiCare Deaconess Hospital | Spokane | $216.40 | $60.30 – $453.45 |
| Providence St Joseph Hospital | Chewelah | $182.70 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $252.96 | $91.30 – $346.70 |
| Swedish Medical Center Cherry Hill | Seattle | $252.96 | $91.30 – $279.33 |
| Swedish Issaquah | Issaquah | $252.96 | $91.30 – $253.35 |
| Central Medical Center | Seattle | $280.00 | not published |