Biliary endoscopy thru skin at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$4,162.32
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.
$11,779.11
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.
$2,002.45 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 | $2,002.45 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $2,042.50 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $2,120.24 | ↓ -49% |
| Kaiser | Medicare|All Plans | $2,120.24 | ↓ -49% |
| SoundPath | Medicare|All Plans | $2,120.24 | ↓ -49% |
| United | Medicaid|All Plans | $2,122.60 | ↓ -49% |
| Molina | Medicaid|All Plans | $2,133.20 | ↓ -49% |
| Optum | Medicare|All Plans | $2,141.45 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $2,183.85 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $2,183.85 | ↓ -48% |
| CHPW | Medicare|All Plans | $2,226.26 | ↓ -47% |
| Humana | Medicare|All Plans | $2,268.66 | ↓ -45% |
| Molina | Medicare|All Plans | $2,289.86 | ↓ -45% |
| United | Medicare|All Plans | $2,289.86 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $2,438.28 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $2,438.28 | ↓ -41% |
| Aetna | Medicare|All Plans | $2,591.41 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $3,922.45 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $4,028.46 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $4,070.87 | ↓ -2% |
| Aetna | Commercial|AWH | $4,711.65 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $5,653.98 | ↑ +36% |
| Aetna | Commercial|Rental | $8,480.96 | ↑ +104% |
| First Choice | Commercial|All Plans | $8,834.34 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $10,601.20 | ↑ +155% |
| United | Commercial|Navigate | $13,386.45 | ↑ +222% |
| United | Commercial|All Other Plans | $14,091.00 | ↑ +239% |
| Kaiser | Commercial|HMO | $14,181.74 | ↑ +241% |
| United | Commercial|Cascade Care | $15,327.00 | ↑ +268% |
| Kaiser | Commercial|PPO | $15,601.01 | ↑ +275% |
| Cigna | Commercial|All Plans | $16,415.00 | ↑ +294% |
| Uniform Medical Plan | Commercial|All Plans | $25,440.35 | ↑ +511% |
| BCBS - Regence | Commercial|All Plans | $29,171.22 | ↑ +601% |
| BCBS - Premera | Commercial|All Plans | $43,563.75 | ↑ +947% |
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 | $12,943.68 | $7,277.00 – $37,395.46 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $8,659.70 | $11,845.30 – $30,146.28 |
| Swedish Medical Center Cherry Hill | Seattle | $12,943.68 | $7,277.00 – $28,803.62 |
| Swedish Issaquah | Issaquah | $12,943.68 | $7,277.00 – $27,403.18 |
| Providence Holy Family Hospital | Spokane | $10,841.60 | $11,845.30 – $31,093.90 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $10,575.76 | $10,334.00 – $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 |