Apl(pml-rara) quant - sendout at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$302.38
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.
$855.71
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.
$145.48 with CHPW vs $1,536.39 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 | $145.48 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $148.39 | ↓ -51% |
| United | Medicaid|All Plans | $154.20 | ↓ -49% |
| Molina | Medicaid|All Plans | $154.97 | ↓ -49% |
| WellPoint | Medicaid|All Plans | $177.14 | ↓ -41% |
| Kaiser | Medicare|All Plans | $207.31 | ↓ -31% |
| SoundPath | Medicare|All Plans | $207.31 | ↓ -31% |
| Aetna | Medicare|All Plans | $207.31 | ↓ -31% |
| BCBS - Regence | Medicare|All Plans | $207.31 | ↓ -31% |
| United | Medicare|All Plans | $207.31 | ↓ -31% |
| Amerigroup | Medicare|All Plans | $207.31 | ↓ -31% |
| Optum | Medicare|All Plans | $209.38 | ↓ -31% |
| BCBS - Premera | Medicare|All Plans | $213.53 | ↓ -29% |
| BCBS - Regence | Commercial|All Plans | $217.68 | ↓ -28% |
| CHPW | Medicare|All Plans | $217.68 | ↓ -28% |
| Humana | Medicare|All Plans | $221.82 | ↓ -27% |
| Molina | Medicare|All Plans | $223.89 | ↓ -26% |
| Seattle Medical Group | Medicare|All Plans | $238.41 | ↓ -21% |
| Uniform Medical Plan | Commercial|All Plans | $310.97 | ↑ +3% |
| BCBS - Premera | Commercial|All Plans | $310.97 | ↑ +3% |
| Aetna | Commercial|AWH | $342.29 | ↑ +13% |
| Cigna | Commercial|All Plans | $375.97 | ↑ +24% |
| Coordinated Care | Commercial|Ambetter Exchange | $383.52 | ↑ +27% |
| Sound Family Medicine | Commercial|All Plans | $393.89 | ↑ +30% |
| Molina | Commercial|Marketplace Exchange | $398.04 | ↑ +32% |
| Aetna | Commercial|All Other Plans | $410.75 | ↑ +36% |
| United | Commercial|Cascade Care | $419.30 | ↑ +39% |
| United | Commercial|Navigate | $419.30 | ↑ +39% |
| United | Commercial|All Other Plans | $444.97 | ↑ +47% |
| Kaiser | Commercial|HMO | $564.07 | ↑ +87% |
| Aetna | Commercial|Rental | $616.12 | ↑ +104% |
| Kaiser | Commercial|PPO | $620.52 | ↑ +105% |
| First Choice | Commercial|All Plans | $641.79 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $770.14 | ↑ +155% |
| Aetna | Commercial|WEA | $1,536.39 | ↑ +408% |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $780.96 | $186.58 – $629.81 |
| Swedish Medical Center Cherry Hill | Seattle | $780.96 | $186.58 – $621.93 |
| Swedish Issaquah | Issaquah | $780.96 | $186.58 – $460.23 |
| Central Medical Center | Seattle | $644.80 | $128.00 – $128.00 |
| Providence Centralia Hospital | Centralia | $394.16 | $207.31 – $606.38 |
| Swedish Edmonds Hospital | Edmonds | $780.96 | $207.31 – $829.24 |
| Providence St Mary Medical Center | Walla Walla | $430.50 | $207.31 – $383.52 |
| Kadlec Regional Medical Center | Richland | $649.60 | $207.31 – $383.52 |