Lev 4 hosp type b ed visit at Providence St Mary Medical Center
401 W Poplar St, Walla Walla, WA · Providence · · NPI 1386895886
$775.60
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.
$1,108.00
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.
$261.01 with Blue Shield vs $1,629.65 with Blue Shield — 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 |
|---|---|---|---|
| Blue Shield | Regence Realvalue Other Commercial Plan | $261.01 | ↓ -66% |
| Kaiser | Medicare Managed Care Plan | $294.53 | ↓ -62% |
| Aetna | Gatekeeper Medicare Managed Care - Hmo | $303.36 | ↓ -61% |
| Aetna | Non-Gatekeeper Medicare Managed Care - Ppo | $306.31 | ↓ -61% |
| Unitedhealthcare | Medicare Managed Care Plan | $309.25 | ↓ -60% |
| Blue Shield | Regence Medicare Managed Care Plan | $318.09 | ↓ -59% |
| Community Health Plan | Medicare Managed Care Plan | $323.98 | ↓ -58% |
| Community Health Plan | Exchange | $471.24 | ↓ -39% |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $530.15 | ↓ -32% |
| Coordinated Care | Exchange | $544.88 | ↓ -30% |
| Kaiser | All Commercial Plans | $866.50 | ↑ +12% |
| Blue Shield | Uniform Other Commercial Plan | $882.42 | ↑ +14% |
| Blue Cross | Premera Heritage Signature All Commercial Plans | $1,325.87 | ↑ +71% |
| Blue Cross | Premera All Commercial Plans | $1,325.87 | ↑ +71% |
| Blue Shield | Regence All Commercial Plans | $1,629.65 | ↑ +110% |
Visitor-reported prices
Comments
Lev 4 hosp type b ed visit at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $465.50 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $638.40 | $294.53 – $749.57 |
| Kadlec Regional Medical Center | Richland | $731.50 | $294.53 – $793.50 |
| Providence Holy Family Hospital | Spokane | $694.40 | $294.53 – $773.13 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $294.53 – $323.98 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $306.06 – $988.32 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $306.06 – $951.79 |
| Swedish Issaquah | Issaquah | not published | $306.92 – $988.32 |