Biliary endoscopy thru skin at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$3,864.13
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.
$10,935.25
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.
$1,859.00 with CHPW vs $43,563.75 with BCBS - Premera — 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 | $1,859.00 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $1,896.18 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $1,968.35 | ↓ -49% |
| SoundPath | Medicare|All Plans | $1,968.35 | ↓ -49% |
| Kaiser | Medicare|All Plans | $1,968.35 | ↓ -49% |
| United | Medicaid|All Plans | $1,970.54 | ↓ -49% |
| Molina | Medicaid|All Plans | $1,980.38 | ↓ -49% |
| Optum | Medicare|All Plans | $1,988.03 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $2,027.40 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $2,027.40 | ↓ -48% |
| CHPW | Medicare|All Plans | $2,066.77 | ↓ -47% |
| Humana | Medicare|All Plans | $2,106.13 | ↓ -45% |
| Molina | Medicare|All Plans | $2,125.82 | ↓ -45% |
| United | Medicare|All Plans | $2,125.82 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $2,263.60 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $2,263.60 | ↓ -41% |
| Aetna | Medicare|All Plans | $2,405.76 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $3,641.44 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $3,739.86 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $3,779.23 | ↓ -2% |
| Aetna | Commercial|AWH | $4,374.10 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $5,248.92 | ↑ +36% |
| Cigna | Commercial|All Plans | $6,630.00 | ↑ +72% |
| Aetna | Commercial|Rental | $7,873.38 | ↑ +104% |
| First Choice | Commercial|All Plans | $7,998.95 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $9,841.73 | ↑ +155% |
| United | Commercial|Navigate | $13,386.45 | ↑ +246% |
| United | Commercial|All Other Plans | $14,091.00 | ↑ +265% |
| Kaiser | Commercial|HMO | $14,181.74 | ↑ +267% |
| United | Commercial|Cascade Care | $15,327.00 | ↑ +297% |
| Kaiser | Commercial|PPO | $15,601.01 | ↑ +304% |
| Uniform Medical Plan | Commercial|All Plans | $25,440.35 | ↑ +558% |
| BCBS - Regence | Commercial|All Plans | $29,171.22 | ↑ +655% |
| BCBS - Premera | Commercial|All Plans | $43,563.75 | ↑ +1027% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $12,201.60 | $7,277.00 – $37,395.46 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $11,128.60 | $9,231.00 – $30,146.28 |
| Swedish Medical Center Cherry Hill | Seattle | $12,201.60 | $7,277.00 – $28,803.62 |
| Swedish Issaquah | Issaquah | $12,201.60 | $7,277.00 – $27,403.18 |
| Kadlec Regional Medical Center | Richland | $11,217.50 | $1,014.49 – $21,913.80 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $10,575.76 | $9,161.00 – $28,084.26 |
| MultiCare Valley Hospital | Spokane Valley | $10,156.40 | $2,914.39 – $33,386.28 |
| MultiCare Yakima Memorial Hospital | Yakima | $10,156.40 | $8,020.09 – $32,037.81 |