When coming to Seattle Children’s for care, there are 3 main things to consider about your insurance plan:

  • See a list of plans that include Seattle Children’s for medical care. For mental health services, see our mental health insurance coverage page. Learn more in our Insurance Frequently Asked Questions section.

  • The amount you owe depends on the insurance plan you have. Your cost is determined by your plan benefits like copaycoinsurance, individual and family deductible amounts, as well as the type of services your child receives.

    Cost estimates

    We can provide an estimate based on what we know about your child’s treatment. If we do not know what the doctor will do or recommend, we cannot estimate the cost for treatment.

    If you have Apple Health (Medicaid), there is no cost to you.

    To request a cost estimate: Call our financial counselors at 206-987-3333 or email financialcounseling@seattlechildrens.org.

    Facility charges

    Below is a list of our facility charges. However, your final cost will depend on your child’s treatment and your insurance coverage.

    • Facility charge list (CSV). This is a list of our services and charges before insurance discounts.
      • You may have more than one of the charges on the list depending on your child’s care needs.
      • Because there are so many different treatment options and charges, the service you find on this list may not be the actual treatment your child needs, so your cost may be different.
      • For the most accurate cost estimate, call 206-987-3333.
      • We are required by law to present the list in this format. To make it easier to read, expand the columns in the spreadsheet.

    Drug charges

    Below is a list of our average drug charges. However, your final cost will depend on your child’s treatment and insurance coverage.

    • Drug charge list (CSV). This is a list of our average price for one unit of medicine before insurance discounts. 
      • Sometimes there are multiple units of medicine in each dose. 
      • The prices are averages and are unlikely to match the price of medicines for your child. Drug prices are calculated and can vary based on: 
        • The dose given
        • The patient’s age, weight or clinical condition
        • Our cost to purchase the drug, which changes often because of availability and price changes 
        • Our cost to prepare the medicine, which depends on the type of medicine and clinical setting
      • To discuss a cost estimate for your child’s drug, call 206-987-3333
      • We are required by law to present the list in this format. To make it easier to read, expand the columns in the spreadsheet.

    Learn more

    Visit our Insurance Frequently Asked Questions page.

  • Most insurance plans do not require pre-authorization for a specialty clinic consult. If the specialist orders additional tests, therapies or procedures, our insurance authorization team will request authorization from your insurance plan.

    Kaiser Health Foundation Plan of Washington (formerly Group Health Cooperative), NPN, HMSO and TriCare insurance plans always require a pre-authorization before scheduling care at Seattle Children’s. If your child is covered by Kaiser Health Foundation Plan of Washington (formerly Group Health Cooperative), NPN, HMSO or TriCare, make sure you have your authorization number before you schedule an appointment.

    If your insurance denies our authorization request, meaning they will not pay for services, we will contact you. Because of the high volume of requests we do each day, we will only notify you if our request is denied.

    Pre-authorization does not guarantee your insurance will cover care. Some services do not require pre-authorization, but also are not covered. Because employer groups can customize plans for their employees, there is a wide range of plans and coverage. Contact your insurance to learn what your plan covers.

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