Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at MultiCare Yakima Memorial Hospital
2811 Tieton Drive, Yakima, WA · Multicare · · NPI 1053373480
$80.40
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.
$201.00
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.
$26.21 with Molina vs $172.26 with First Health — 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 |
|---|---|---|---|
| Molina | Apple Health | $26.21 | ↓ -67% |
| Community Health Plan of Washington | Apple Health | $27.75 | ↓ -65% |
| United Healthcare | Apple Health | $29.55 | ↓ -63% |
| Coordinated Care | Apple Health | $29.55 | ↓ -63% |
| WellPoint | Apple Health | $30.45 | ↓ -62% |
| SCAN | MedAdvantage | $50.98 | ↓ -37% |
| Cigna Sterling | MedAdvantage | $52.00 | ↓ -35% |
| Regence | MedAdvantage | $52.51 | ↓ -35% |
| United Healthcare | MedAdvantage | $53.53 | ↓ -33% |
| Aetna | MedAdvantage | $53.53 | ↓ -33% |
| Community Health Plan of Washington | MedAdvantage | $53.53 | ↓ -33% |
| WellCare | MedAdvantage | $54.04 | ↓ -33% |
| Kaiser | MedAdvantage | $57.10 | ↓ -29% |
| Uniform Medical | All Commercial Plans | $67.94 | ↓ -15% |
| Regence | RealValue | $70.55 | ↓ -12% |
| Regence | Commercial | $78.39 | ↓ -3% |
| Regence | MCC/AHN | $78.39 | ↓ -3% |
| Regence | Blue High Performance | $78.39 | ↓ -3% |
| Community Health Plan of Washington | Cascade Care | $81.57 | ↑ +1% |
| Premera | Prime | $81.95 | ↑ +2% |
| Premera | Signature | $81.95 | ↑ +2% |
| Premera | Other Commercial Plans | $81.95 | ↑ +2% |
| Ambetter | Coordinated Care Exchange | $87.18 | ↑ +8% |
| Riverside Christian | Commercial | $98.49 | ↑ +23% |
| First Choice | MHS Employee MCC/PPO | $99.07 | ↑ +23% |
| Kaiser | HMO/PPO | $149.81 | ↑ +86% |
| First Choice | First Choice PPO | $162.40 | ↑ +102% |
| United Healthcare | Commercial | $165.02 | ↑ +105% |
| Cigna | Commercial | $170.85 | ↑ +113% |
| Multiplan/PHCS | All Commercial Plans | $170.85 | ↑ +113% |
| Aetna | All Commercial Plans | $172.26 | ↑ +114% |
| First Health | All Commercial Plans | $172.26 | ↑ +114% |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $63.06 | $58.50 – $64.35 |
| Providence St Joseph Hospital | Chewelah | $51.80 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $98.40 | $46.80 – $177.72 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $106.40 | $58.50 – $148.88 |
| Swedish Medical Center Cherry Hill | Seattle | $98.40 | $46.80 – $162.40 |
| Swedish Issaquah | Issaquah | $98.40 | $46.80 – $129.87 |
| Providence Centralia Hospital | Centralia | $55.64 | $58.50 – $125.59 |
| Providence Mount Carmel Hospital | Colville | $45.50 | not published |