#afb mycobacteria suscep. #1 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$29.79
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.
$84.29
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.
$7.31 with Amerigroup vs $75.87 with MultiPlan — 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 |
|---|---|---|---|
| Amerigroup | Medicare|All Plans | $7.31 | ↓ -75% |
| Aetna | Medicare|All Plans | $7.31 | ↓ -75% |
| BCBS - Regence | Medicare|All Plans | $7.31 | ↓ -75% |
| Kaiser | Medicare|All Plans | $7.31 | ↓ -75% |
| United | Medicare|All Plans | $7.31 | ↓ -75% |
| SoundPath | Medicare|All Plans | $7.31 | ↓ -75% |
| Optum | Medicare|All Plans | $7.38 | ↓ -75% |
| BCBS - Premera | Medicare|All Plans | $7.53 | ↓ -75% |
| CHPW | Medicare|All Plans | $7.68 | ↓ -74% |
| BCBS - Regence | Commercial|All Plans | $7.68 | ↓ -74% |
| Humana | Medicare|All Plans | $7.82 | ↓ -74% |
| Molina | Medicare|All Plans | $7.89 | ↓ -74% |
| Seattle Medical Group | Medicare|All Plans | $8.41 | ↓ -72% |
| Cigna | Commercial|All Plans | $10.74 | ↓ -64% |
| BCBS - Premera | Commercial|All Plans | $10.97 | ↓ -63% |
| Uniform Medical Plan | Commercial|All Plans | $10.97 | ↓ -63% |
| Coordinated Care | Commercial|Ambetter Exchange | $13.52 | ↓ -55% |
| Sound Family Medicine | Commercial|All Plans | $13.89 | ↓ -53% |
| Molina | Commercial|Marketplace Exchange | $14.04 | ↓ -53% |
| CHPW | Medicaid|All Plans | $14.33 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $14.62 | ↓ -51% |
| United | Medicaid|All Plans | $15.19 | ↓ -49% |
| Molina | Medicaid|All Plans | $15.27 | ↓ -49% |
| WellPoint | Medicaid|All Plans | $17.45 | ↓ -41% |
| Aetna | Commercial|AWH | $33.72 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $39.84 | ↑ +34% |
| First Choice | Commercial|All Plans | $40.85 | ↑ +37% |
| United | Commercial|Navigate | $41.31 | ↑ +39% |
| United | Commercial|Cascade Care | $41.31 | ↑ +39% |
| Aetna | Commercial|WEA | $41.86 | ↑ +41% |
| United | Commercial|All Other Plans | $43.84 | ↑ +47% |
| Aetna | Commercial|Rental | $60.69 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $75.87 | ↑ +155% |
Visitor-reported prices
Comments
#afb mycobacteria suscep. #1 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $34.08 | $6.58 – $34.36 |
| Swedish Medical Center Cherry Hill | Seattle | $34.08 | $6.58 – $33.26 |
| Swedish Issaquah | Issaquah | $34.08 | $6.58 – $34.36 |
| Central Medical Center | Seattle | $32.80 | $6.00 – $6.00 |
| Swedish Edmonds Hospital | Edmonds | $34.08 | $7.31 – $32.90 |
| Providence St Mary Medical Center | Walla Walla | $232.40 | $7.31 – $13.52 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $36.92 | $7.31 – $30.70 |
| MultiCare Valley Hospital | Spokane Valley | $11.60 | $4.89 – $13.25 |