Occupational Therapy Evaluation (moderate complexity) at Providence St Mary Medical Center
401 W Poplar St, Walla Walla, WA · Providence · · NPI 1386895886
$118.30
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.
$169.00
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.
$101.55 with Blue Cross vs $335.74 with Kaiser — 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 Cross | Premera All Commercial Plans | $101.55 | ↓ -14% |
| Blue Cross | Premera Heritage Signature All Commercial Plans | $101.55 | ↓ -14% |
| Kaiser | Medicare Managed Care Plan | $114.12 | ↓ -4% |
| Aetna | Gatekeeper Medicare Managed Care - Hmo | $117.54 | ↓ -1% |
| Aetna | Non-Gatekeeper Medicare Managed Care - Ppo | $118.68 | ↑ +0% |
| Unitedhealthcare | Medicare Managed Care Plan | $119.83 | ↑ +1% |
| Blue Shield | Regence Medicare Managed Care Plan | $123.25 | ↑ +4% |
| Community Health Plan | Medicare Managed Care Plan | $125.53 | ↑ +6% |
| Community Health Plan | Exchange | $182.59 | ↑ +54% |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $205.42 | ↑ +74% |
| Aetna | All Commercial Plans | $208.78 | ↑ +76% |
| Coordinated Care | Exchange | $211.12 | ↑ +78% |
| Kaiser | All Commercial Plans | $335.74 | ↑ +184% |
Visitor-reported prices
Comments
Occupational Therapy Evaluation (moderate complexity) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $304.30 | $114.12 – $125.53 |
| Providence St Joseph Hospital | Chewelah | $187.60 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $290.40 | $91.30 – $346.70 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $364.70 | $114.12 – $290.44 |
| Swedish Medical Center Cherry Hill | Seattle | $290.40 | $91.30 – $278.25 |
| Swedish Issaquah | Issaquah | $290.40 | $91.30 – $253.35 |
| Central Medical Center | Seattle | $312.80 | not published |
| Providence Centralia Hospital | Centralia | $175.24 | $114.12 – $215.18 |