Antistreptolysin o screen at St. Elizabeth Hospital

1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 17, 2026

$21.07

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$59.61

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$5.77 with Amerigroup vs $53.65 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 →

Payer
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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
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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 $5.77 ↓ -73%
Aetna Medicare|All Plans $5.77 ↓ -73%
BCBS - Regence Medicare|All Plans $5.77 ↓ -73%
Kaiser Medicare|All Plans $5.77 ↓ -73%
United Medicare|All Plans $5.77 ↓ -73%
SoundPath Medicare|All Plans $5.77 ↓ -73%
Optum Medicare|All Plans $5.83 ↓ -72%
BCBS - Premera Medicare|All Plans $5.94 ↓ -72%
CHPW Medicare|All Plans $6.06 ↓ -71%
BCBS - Regence Commercial|All Plans $6.06 ↓ -71%
Humana Medicare|All Plans $6.17 ↓ -71%
Molina Medicare|All Plans $6.23 ↓ -70%
Seattle Medical Group Medicare|All Plans $6.64 ↓ -68%
Uniform Medical Plan Commercial|All Plans $8.66 ↓ -59%
BCBS - Premera Commercial|All Plans $8.66 ↓ -59%
CHPW Medicaid|All Plans $10.14 ↓ -52%
Coordinated Care Medicaid|All Plans $10.34 ↓ -51%
Cigna Commercial|All Plans $10.46 ↓ -50%
Coordinated Care Commercial|Ambetter Exchange $10.67 ↓ -49%
United Medicaid|All Plans $10.75 ↓ -49%
Molina Medicaid|All Plans $10.80 ↓ -49%
Sound Family Medicine Commercial|All Plans $10.96 ↓ -48%
Molina Commercial|Marketplace Exchange $11.08 ↓ -47%
WellPoint Medicaid|All Plans $12.34 ↓ -41%
Aetna Commercial|AWH $23.85 ↑ +13%
Aetna Commercial|All Other Plans $28.62 ↑ +36%
United Commercial|Navigate $29.21 ↑ +39%
United Commercial|Cascade Care $29.21 ↑ +39%
United Commercial|All Other Plans $31.00 ↑ +47%
First Choice Commercial|All Plans $36.31 ↑ +72%
Aetna Commercial|WEA $37.27 ↑ +77%
Aetna Commercial|Rental $42.92 ↑ +104%
MultiPlan Commercial|All Plans $53.65 ↑ +155%

Visitor-reported prices

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Antistreptolysin o screen at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $172.20 not published
Providence Sacred Heart Medical Center and Children's Hospital Spokane $206.50 $5.77 – $20.77
Central Medical Center Seattle $25.60 $4.00 – $4.00
Providence Holy Family Hospital Spokane $139.30 $5.77 – $24.61
MultiCare Valley Hospital Spokane Valley $14.40 $5.77 – $10.46
MultiCare Yakima Memorial Hospital Yakima $14.80 $5.98 – $10.36
St. Michael Medical Center Silverdale $26.31 $5.77 – $53.65
St. Anne Hospital Burien $18.21 $5.77 – $53.65

All Washington hospitals for this procedure →