Swedish Edmonds Hospital

EdmondsSnohomish CountyAcute Care Hospitals

Ankle X-ray (3 or more views)

Quality: 3 of 5 (CMS overall rating)Earliest available date: call (425) 640-4000

What you may pay

With insurance from an employer or private plan: $87.53 to $399Depends on your plan. Each plan’s price at this hospital:
Aetna: Whole Health Other Commercial Plan $87.53Below what Traditional Medicare pays this hospital for this ($99.10, CY2026 rate). Private plans almost always pay more than Medicare, so this may cover only part of the bill or be a mistake in the hospital’s file. Ask Aetna for its rate before relying on it.
Aetna: All Commercial Plans $116 Lower than typical
First Choice: Health Administrators All Commercial Plans $359 Higher than typical
First Choice: All Commercial Plans $399 Higher than typical
The 2 lowest and 2 highest of 16 plans. Find yours in the table below.Typical at 31 hospitals we cover: $239 to $340 (each hospital’s middle plan price, hospital’s fee). Don’t see your plan? Ask your insurer for its rate here.
Paying yourself (cash price): No cash price posted. Ask the hospital for a Good Faith Estimate.

These are prices the hospital published, not a quote. With insurance you usually pay part of the rate (your deductible and coinsurance); the estimator on the procedure page works it out. A higher price does not mean better care.

Doctors usually bill separately. At most hospitals these are the hospital’s own charges. The surgeon, radiologist, anesthesiologist or pathologist usually sends a separate bill: ask each of them for an estimate too.

Source: Swedish Edmonds Hospital’s own price file, dated 2026-04-01. CareNavIQ last refreshed prices on 2026-11-05.

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.

Separate bills for this procedure and their estimated amounts
Bill	Who sends it	How likely	Status	Traditional Medicare allows	Private plans (estimate)
Hospital's feeThe X-ray: equipment and technologist	The hospital	Expected	Published by the hospital: the prices above	—	—
RadiologistReading the X-ray and writing the report	The radiology group	Expected	Billed separately; amount estimated	$8	$10 to $15
Ordering doctor's visitThe visit where the X-ray is ordered or the results are explained	Your doctor	Possible	Billed separately; not priced	—	—

What you’d pay for these bills

Adds up your share of the hospital’s bill and the expected doctors’ bills above (not the possible ones). What you type stays in your browser.

Your coverage Insurance from an employer or a private plan Traditional Medicare Medicare Advantage Apple Health (Medicaid)

Your plan’s price at this hospitalDeductible you still have to pay this yearYour coinsurance after the deductibleOut-of-pocket maximum you have left this year (optional)

Your plan’s summary of benefits says how it charges for each kind of care. Leave these as they are if it uses the deductible and coinsurance.

The hospital's billHow your plan charges

The bill from the doctor doing the procedureHow your plan charges

You pay about $25 to $26 of about $126 to $131 billed to your plan.

Your share of the hospital's bill is about $23; the rest is your share of the doctors' bills. The doctors' bills are estimates. Enter your out-of-pocket maximum to see whether you'd reach it. Assumes everyone is in your network.

How each bill comes to you

Each provider sends a claim to your plan. It applies its allowed amount, then your deductible, copay and coinsurance, and sends you an Explanation of Benefits. Then the provider bills you the “You owe” line. Bills are in the order your plan is assumed to process them, the hospital first. The doctors' bills are estimates.

Show the bills at the lower estimate the higher estimate

Hospital's feeSent by the hospital
The provider's chargeThe hospital's price file doesn't list one charge for this; in network it doesn't change what you owe.
Not published
Allowed amountWhat the insurer counts for this bill.
$116
Your plan pays
$92.75
Your coinsurance
$23.19
You oweThe provider bills you this after the insurer pays.
$23.19
RadiologistSent by the radiology group
The provider's chargeDoctors don't publish their charges; in network it doesn't change what you owe.
Not published
Allowed amountWhat the insurer counts for this bill.
$9.99
Your plan pays
$8.00
Your coinsurance
$2.00
You oweThe provider bills you this after the insurer pays.
$2.00

All bills: allowed amounts: $126
Your plan pays: $101
You owe in all: $25.19

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.

How you’ll payWith insurancePaying myself, without insurance

Swedish Edmonds Hospital

The largest bill.

Request to send

Subject: Estimate request: ankle x-ray (3 or more views) at Swedish Edmonds Hospital

Hello,

I am planning a ankle x-ray (3 or more views) (billing code CPT 73610) at Swedish Edmonds Hospital.

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.

Replace the words in [brackets] with your details before you send it.

Open in my email

If you call. Call (425) 640-4000 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my ankle x-ray (3 or more views)."

I’ve sent this one

0 of 3 sent. Washington law gives you the right to these estimates but sets no deadline: if you haven't heard back in five business days, send it again or call.

How these are worked out. Medicare amounts are CMS’s 2026 physician fee schedule for this area, at the rate for care in a hospital. Private-plan estimates are 118% to 179% of Medicare for doctors (the range across 19 studies in KFF’s review of what private insurers pay) and 3 to 5 times Medicare for anesthesia (a published industry estimate). Anesthesia is paid by the minute, so its range assumes the time shown. Medicare pays an assistant at surgery 13.6% to 16% of the surgeon’s fee. Where we have your insurer’s own published rates for the doctors here (below), the estimator uses those for that insurer’s employer plans instead. Your plan’s own rates may be outside these ranges: ask each office for an estimate, and for its network status. At an in-network hospital, the anesthesia, radiology, pathology and assistant groups can’t charge you more than your in-network cost share, even if they are out of network (No Surprises Act).

24 published prices, grouped by who each price applies to.

Commercial insurance 16 prices

Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices marked “below Medicare” are less than Traditional Medicare pays this hospital for the same code. They may be one line of a bigger bill or a mistake in the hospital’s file: ask the plan for its rate.

Commercial insurance prices for Ankle X-ray (3 or more views) at Swedish Edmonds Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Aetna	All Commercial Plans	$116	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Aetna	Whole Health Other Commercial Plan	$87.53Below Medicare ($99.10)	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Blue Cross	Premera All Commercial Plans	$271	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Blue Cross	Premera Heritage Exchange	$227	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Blue Cross	Premera Lifewise Exchange	$178	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Blue Shield	Regence All Commercial Plans	$236	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Blue Shield	Uniform Medical Plan Exchange	$258	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Cigna	All Commercial Plans	$283	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Community Health Plan	Cascade Care Exchange	$159	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Coordinated Care	Ambetter Exchange	$183	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
First Choice	All Commercial Plans	$399	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
First Choice	Health Administrators All Commercial Plans	$359	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Kaiser	All Commercial Plans	$149	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Providence Health Plan	Signature/Choice Network Other Commercial Plan	$252	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Unitedhealthcare	Aco Tiered/Doctors Plan Other Commercial Plan	$302	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Unitedhealthcare	All Commercial Plans	$357	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01

Medicare Advantage 8 prices

Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Medicare Advantage prices for Ankle X-ray (3 or more views) at Swedish Edmonds Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Aetna	Medicare Managed Care - Hmo	$102	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Aetna	Medicare Managed Care - Ppo	$103	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Amerigroup	Medicare Managed Care Plan	$109	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Blue Shield	Regence Medicare Managed Care Plan	$107	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Cigna	Medicare Managed Care Plan	$119	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Humana	Choice Care Medicare Managed Care Plan	$105	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Kaiser	Medicare Managed Care Plan	$99.10	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01
Unitedhealthcare	Medicare Managed Care Plan	$104	Hospital’s fee	X-ray exam of ankle	fee schedule	Outpatient	2026-04-01

Doctors here who do this procedure

15 doctors affiliated with Swedish Edmonds Hospital billed Traditional Medicare for Ankle X-ray (3 or more views) in 2024, most Medicare services first. See all doctors and practices, including those with no hospital affiliation.

Doctors affiliated with Swedish Edmonds Hospital who billed Traditional Medicare for Ankle X-ray (3 or more views)
Doctor or practice	Practice	Medicare quality score	Times billed to Traditional Medicare (2024)	Traditional Medicare amount for their own service (2024)
Darcy Foral, MDOrthopedic Surgery · Edmonds	Proliance Surgeons Inc P SGroup of 397 clinicians	Not rated	92	$35.83 in the office (no hospital amount)
Edward Lee, MDDiagnostic Radiology · Lynnwood	Swedish Health ServicesGroup of 1,037 clinicians	Not rated	87	$8.83 at a hospital or surgery center
Brendan Harrison, MDDiagnostic Radiology · Everett	Swedish Health ServicesGroup of 1,037 clinicians	Not rated	86	$8.82 at a hospital or surgery center
Hartley Sirkis, MDDiagnostic Radiology · Lynnwood	Swedish Health ServicesGroup of 1,037 clinicians	Not rated	82	$8.67 at a hospital or surgery center
Dae Hee Bang, MDDiagnostic Radiology · Lynnwood	Swedish Health ServicesGroup of 1,037 clinicians	Not rated	62	$8.82 at a hospital or surgery center
Mark Zobel, MDDiagnostic Radiology · Lynnwood	Swedish Health ServicesGroup of 1,037 clinicians	Not rated	62	$8.88 at a hospital or surgery center
Mehdi Rohany, MDDiagnostic Radiology · Lynnwood	Swedish Health ServicesGroup of 1,037 clinicians	Not rated	56	$32.84 in the office (no hospital amount)
Justin Leblanc, MDDiagnostic Radiology · Everett	Swedish Health ServicesGroup of 1,037 clinicians	Not rated	48	$8.57 at a hospital or surgery center
Darren Wardle, DPMPodiatry · Edmonds	Proliance Surgeons Inc P SGroup of 397 clinicians	Not rated	47	$37.11 in the office (no hospital amount)
Eric Kinder, MDDiagnostic Radiology · Lynnwood	Swedish Health ServicesGroup of 1,037 clinicians	Not rated	44	$29.78 in the office (no hospital amount)
Zachary Laidley, DPMPodiatry · Edmonds	Proliance Surgeons Inc P SGroup of 397 clinicians	Not rated	28	$37.07 in the office (no hospital amount)
Eileen Lorenz, MDDiagnostic Radiology · Lynnwood	Swedish Health ServicesGroup of 1,037 clinicians	Not rated	16	$12.62 in the office (no hospital amount)
Midori Higashi, DPMPodiatry · SeattleOffers telehealth visits	Pacmed ClinicsGroup of 209 clinicians	Not rated	16	$29.47 in the office (no hospital amount)
Tyler Kreager, MDDiagnostic Radiology · Seattle	Swedish Health ServicesGroup of 1,037 clinicians	Not rated	13	$32.47 in the office (no hospital amount)
Kathrin Ahl, MDDiagnostic Radiology · Lynnwood	Swedish Health ServicesGroup of 1,037 clinicians	Not rated	11	$38.16 in the office (no hospital amount)

Reading the doctor list

A higher price doesn’t mean better care. The quality score and the price come from different CMS files and are shown separately on purpose.
The amount is what Traditional Medicare (original Medicare) approved for the doctor’s or lab’s own service: Medicare’s payment plus the patient’s share. It is not what commercial insurance or Medicare Advantage pays, and the hospital or surgery center bills separately (surgery centers aren’t in this list).
The Medicare quality score is CMS’s MIPS final score (0 to 100), based mostly on the doctor’s Medicare patients. About half of doctors aren’t scored, so Not rated says nothing bad about a doctor. A group’s score covers everyone in the group.
CMS doesn’t publish counts under 11 patients, so doctors who rarely bill Medicare for this aren’t listed, and No price published means CMS has no amount for that setting.
Medicare’s file doesn’t say where a doctor did the procedure, only that they billed it in Washington. Affiliations are the hospitals each doctor lists with Medicare.

See a price that looks wrong? Tell us about it.

Swedish Edmonds Hospital

What you may pay

Bills to expect

What you’d pay for these bills

How each bill comes to you

1 Hospital's feeSent by the hospital

2 RadiologistSent by the radiology group

Get it confirmed before your care

Swedish Edmonds Hospital

Commercial insurance 16 prices

Medicare Advantage 8 prices

Doctors here who do this procedure

Reading the doctor list

Hospital's feeSent by the hospital

RadiologistSent by the radiology group