EvergreenHealth Monroe
MonroeSnohomish CountyAcute Care Hospitals
Arm blood vessel CT scan (CTA)
Quality: 3 of 5 (CMS overall rating)Earliest available date: call (360) 794-7497
What you may pay
- With insurance from an employer or private plan
- $240 to $1,617
- AMBETTER: MRH Coordinated Care Ambetter $240 Lower than typical
- LIFEWISE HEALTH PLANS: MRH PREMERA ALPINE $350 Lower than typical
- PHCS: PHCS 6 DEGREES $1,478 Higher than typical
- MULTIPLAN $1,617 Higher than typical
- Paying yourself (cash price)
- $1,391 Typical
Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).
Bills to expect
A procedure usually brings several bills, each from whoever did that part of your care. Here is what to expect, with what Traditional Medicare allows for each doctor’s part in this area (Washington outside King County) and an estimate for private plans.
| Bill | Who sends it | How likely | Status | Traditional Medicare allows | Private plans (estimate) |
|---|---|---|---|---|---|
| Hospital's fee | The hospital | Expected | Published by the hospital: the prices above | — | — |
| Radiologist | The radiology group | Expected | Billed separately; amount estimated | $83 | $98 to $149 |
| Ordering doctor's visit | Your doctor | Possible | Billed separately; not priced | — | — |
What you’d pay for these bills
You pay about $68 to $78 of about $338 to $389 billed to your plan.
How each bill comes to you
Hospital's fee
- The provider's charge
- $1,739
- Insurance adjustment
- −$1,499
- Allowed amount
- $240
- Your plan pays
- $192
- Your coinsurance
- $47.94
- You owe
- $47.94
Radiologist
- The provider's charge
- Not published
- Allowed amount
- $98.47
- Your plan pays
- $78.78
- Your coinsurance
- $19.69
- You owe
- $19.69
- All bills: allowed amounts
- $338
- Your plan pays
- $271
- You owe in all
- $67.63
Who owes what, and when you might owe more
- The insurance adjustment Written off
An in-network provider agrees to accept your plan's allowed amount. The difference between its charge and that amount is written off: you don't owe it, and it shouldn't appear on your bill.
- Deductible You pay
What you pay each year before your plan starts sharing costs. It is applied to bills in the order your plan processes them, so the first bill can take all of it.
- Copay You pay
A fixed amount for a kind of care, such as a hospital stay or a surgeon's visit. Your plan's summary of benefits says whether it applies before or after the deductible, and whether a stay's copay is per day.
- Coinsurance You pay
Your percentage of the allowed amount after the deductible, such as 20%.
- Out-of-pocket maximum Your plan pays
Once your deductible, copays and coinsurance for the year reach it, your plan pays 100% of covered in-network care for the rest of the plan year.
- Each provider bills separately You pay
The hospital, surgeon, anesthesia group, radiologist and pathologist each send their own claim and their own bill. All of them count toward the same deductible and yearly maximum.
- Out of network and surprise bills It depends
A provider outside your plan's network can bill you the difference between its charge and what your plan pays (a balance bill). It can't for emergency care, or when anesthesia, radiology, pathology, an assistant surgeon or a hospital doctor treats you at an in-network hospital: under federal law (the No Surprises Act) and, for Washington-regulated plans and self-funded plans that opt in, RCW 48.49, those groups cannot balance bill you. Your deductible and coinsurance still apply, at in-network amounts.
- Not covered, or no prior authorization It depends
If your plan decides a service isn't covered, or it needed prior authorization that wasn't approved, the plan pays nothing for it and the provider may bill you. Ask the provider to get prior authorization before your care. If an in-network provider didn't get it, the provider's contract may stop it billing you: ask your plan before you pay.
- A second insurance It depends
If you have a second plan, the first plan pays first and the second may then pay some or all of your share. These estimates use one plan only.
- Wait for the Explanation of Benefits You pay
After each claim your insurer sends an Explanation of Benefits (EOB) with the allowed amount, what it paid and what you may owe. It is not a bill. Pay a provider's bill only when it matches the EOB's “you may owe” amount, and ask the provider or insurer about any difference.
- Help from the hospital It depends
Washington hospitals must give free or discounted care based on income, including deductibles and coinsurance for insured patients: free up to 200% or 300% of the federal poverty level depending on the hospital, with discounts above that (RCW 70.170). You can apply after you get a bill. It covers the hospital's bill; doctor groups that bill separately have their own policies.
- If you pay yourself instead You pay
You can choose not to use your insurance and pay the cash price; then nothing counts toward your deductible. Ask each provider for a Good Faith Estimate. If a bill is $400 or more above it, you can dispute it within 120 days.
Get it confirmed before your care
The hospital, each doctor’s group and your insurer can each confirm their part in writing. Here is a request for each one, ready to send from your own email, and what to say if you’d rather call. Nothing you do here is saved.
Coming: CareNavIQ will be able to send these for you, follow up, and tell you when everything is confirmed, with your permission.
EvergreenHealth Monroe
Request to send
Subject: Estimate request: arm blood vessel ct scan (cta) at EvergreenHealth Monroe Hello, I am planning a arm blood vessel ct scan (cta) (billing code CPT 73206) at EvergreenHealth Monroe. Under Washington law (RCW 70.01.030), I am asking for a written estimate of the hospital's charges, with the billing codes you plan to use. Name: [YOUR NAME] Date of birth: [DATE OF BIRTH] Insurance: [PLAN NAME], member ID [MEMBER ID] Planned date: [DATE, IF KNOWN] Thank you.
If you call. Call (360) 794-7497 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my arm blood vessel ct scan (cta)."
34 published prices, grouped by who each price applies to.
Cash price 1 price
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $1,391 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | — | Inpatient or outpatient | — |
List price (before discounts) 1 price
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $1,739 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | — | Inpatient or outpatient | — |
Commercial insurance 17 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| ALLIED BENEFIT SYSTEMS | MRH Aetna | $1,417 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| AMBETTER | MRH Coordinated Care Ambetter | $240 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | other | Inpatient or outpatient | — |
| BRIDGESPAN | MRH Regence | $669 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | fee schedule | Inpatient or outpatient | — |
| COASTAL ADMINISTRATIVE SERVICES | PHCS 6 DEGREES | $1,478 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| FCHN EVERGREEN HC FIRST CHOICE HLTH ADMN | MRH First Choice FCHA | $1,096 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| FEDERAL EMPLOYEES PROGRAM ALTERNATE PAYOR | MRH Premera | $1,206 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| FIRST CHOICE | MRH FIRST CHOICE PPO | $1,294 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| FIRST HEALTH | MRH Aetna | $1,417 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| LIFEWISE HEALTH PLANS | MRH PREMERA ALPINE | $350 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | other | Inpatient or outpatient | — |
| LIFEWISE HEALTH PLANS | MRH Premera | $1,206 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN | MRH Aetna | $1,417 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| MOLINA MARKETPLACE | MRH Molina Marketplace | $360 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | other | Inpatient or outpatient | — |
| MULTIPLAN | MULTIPLAN | $1,617 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| PHCS | PHCS 6 DEGREES | $1,478 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA BLUE CROSS | MRH PREMERA EXCHANGE | $1,145 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA BLUE CROSS | MRH PREMERA HERITAGE PRIME | $1,133 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE BLUE SHIELD | MRH REGENCE INDIVIDUAL AND FAMILY | $602 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | fee schedule | Inpatient or outpatient | — |
Medicare Advantage 5 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AARP | MRH 103% of Medicare | $206 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | other | Inpatient or outpatient | — |
| AETNA MEDICARE ADVANTAGE | MRH 103% of Medicare | $206 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | other | Inpatient or outpatient | — |
| PREMERA BLUE CROSS MEDICARE ADVANTAGE | MRH 105% of Medicare - Premera Med Advantage | $210 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | other | Inpatient or outpatient | — |
| REGENCE MEDICARE ADVANTAGE | MRH 103.5% of Medicare | $207 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | other | Inpatient or outpatient | — |
| UNITED HEALTHCARE MEDICARE ADVANTAGE | MRH 103% of Medicare | $206 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | other | Inpatient or outpatient | — |
Medicaid managed care 1 price
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| OPTUM CARE NETWORK COMMUNITY PLAN APPLE HEALTH | MRH 103% of Medicare | $206 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | other | Inpatient or outpatient | — |
Unknown 9 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AETNA | MRH Aetna | $1,417 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| ASURIS | MRH Regence | $669 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | fee schedule | Inpatient or outpatient | — |
| CIGNA | MRH CIGNA | $1,391 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| KAISER PERMANENTE | MRH Kaiser | $699 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | other | Inpatient or outpatient | — |
| PREMERA BLUE CROSS | MRH Premera | $1,206 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA BLUE CROSS ALTERNATE | MRH Premera | $1,206 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE BLUE SHIELD | MRH Regence | $669 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | fee schedule | Inpatient or outpatient | — |
| REGENCE BLUE SHIELD ALTERNATE | MRH Regence | $669 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | fee schedule | Inpatient or outpatient | — |
| UNITED HEALTHCARE | MRH UHC | $1,760 | Hospital’s fee | HC CT Angio,Upper Extrem,Combo - CT Upper Ext Angio W and WO IV Cont | per diem | Inpatient or outpatient | — |
Doctors here who do this procedure
We don’t have doctor data for this procedure yet. CMS publishes what doctors bill Traditional Medicare by billing code, and no Washington doctor billed this one often enough for CMS to publish it (11 or more patients a year).
See a price that looks wrong? Tell us about it.