Aco med nutria tx/group, ea 30 min 97804aco at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$23.51
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.
$66.53
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.
$11.32 with CHPW vs $150.93 with Aetna — 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 |
|---|---|---|---|
| CHPW | Medicaid|All Plans | $11.32 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $11.54 | ↓ -51% |
| SoundPath | Medicare|All Plans | $11.98 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $11.98 | ↓ -49% |
| Kaiser | Medicare|All Plans | $11.98 | ↓ -49% |
| United | Medicaid|All Plans | $11.99 | ↓ -49% |
| Molina | Medicaid|All Plans | $12.05 | ↓ -49% |
| Optum | Medicare|All Plans | $12.10 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $12.34 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $12.34 | ↓ -48% |
| CHPW | Medicare|All Plans | $12.58 | ↓ -46% |
| Humana | Medicare|All Plans | $12.82 | ↓ -45% |
| Molina | Medicare|All Plans | $12.94 | ↓ -45% |
| United | Medicare|All Plans | $12.94 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $13.78 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $13.78 | ↓ -41% |
| Aetna | Medicare|All Plans | $14.64 | ↓ -38% |
| BCBS - Regence | Commercial|All Plans | $20.80 | ↓ -12% |
| Coordinated Care | Commercial|Ambetter Exchange | $22.16 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $22.76 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $23.00 | ↓ -2% |
| Uniform Medical Plan | Commercial|All Plans | $24.96 | ↑ +6% |
| Aetna | Commercial|AWH | $26.62 | ↑ +13% |
| BCBS - Premera | Commercial|All Plans | $30.64 | ↑ +30% |
| Aetna | Commercial|All Other Plans | $31.94 | ↑ +36% |
| Kaiser | Commercial|HMO | $42.42 | ↑ +80% |
| Kaiser | Commercial|PPO | $46.66 | ↑ +98% |
| Aetna | Commercial|Rental | $47.91 | ↑ +104% |
| First Choice | Commercial|All Plans | $49.90 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $59.88 | ↑ +155% |
| United | Commercial|Cascade Care | $60.00 | ↑ +155% |
| United | Commercial|Navigate | $68.40 | ↑ +191% |
| United | Commercial|All Other Plans | $72.00 | ↑ +206% |
| Aetna | Commercial|WEA | $150.93 | ↑ +542% |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $52.80 | $10.06 – $38.22 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $52.50 | $12.58 – $32.02 |
| Swedish Medical Center Cherry Hill | Seattle | $52.80 | $10.06 – $48.72 |
| Swedish Issaquah | Issaquah | $52.80 | $10.06 – $30.86 |
| Swedish Edmonds Hospital | Edmonds | $47.04 | $12.58 – $64.96 |
| Providence St Mary Medical Center | Walla Walla | $142.80 | $12.58 – $23.27 |
| Kadlec Regional Medical Center | Richland | $91.70 | $12.58 – $30.04 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $151.32 | $11.32 – $35.73 |