Biopsy of heart lining at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,489.20
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.
$4,214.34
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.
$716.44 with CHPW vs $13,489.69 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 | $716.44 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $730.77 | ↓ -51% |
| SoundPath | Medicare|All Plans | $758.59 | ↓ -49% |
| Kaiser | Medicare|All Plans | $758.59 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $758.59 | ↓ -49% |
| United | Medicaid|All Plans | $759.43 | ↓ -49% |
| Molina | Medicaid|All Plans | $763.22 | ↓ -49% |
| Optum | Medicare|All Plans | $766.17 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $781.34 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $781.34 | ↓ -48% |
| CHPW | Medicare|All Plans | $796.52 | ↓ -47% |
| Humana | Medicare|All Plans | $811.69 | ↓ -45% |
| Molina | Medicare|All Plans | $819.27 | ↓ -45% |
| United | Medicare|All Plans | $819.27 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $872.37 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $872.37 | ↓ -41% |
| Aetna | Medicare|All Plans | $927.16 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,403.38 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $1,441.31 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $1,456.48 | ↓ -2% |
| Aetna | Commercial|AWH | $1,685.74 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $2,022.89 | ↑ +36% |
| Aetna | Commercial|Rental | $3,034.33 | ↑ +104% |
| First Choice | Commercial|All Plans | $3,160.76 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $3,792.91 | ↑ +155% |
| Cigna | Commercial|All Plans | $6,725.00 | ↑ +352% |
| Uniform Medical Plan | Commercial|All Plans | $7,877.70 | ↑ +429% |
| Kaiser | Commercial|HMO | $8,105.48 | ↑ +444% |
| United | Commercial|Navigate | $8,801.75 | ↑ +491% |
| Kaiser | Commercial|PPO | $8,916.65 | ↑ +499% |
| BCBS - Regence | Commercial|All Plans | $9,032.98 | ↑ +507% |
| United | Commercial|All Other Plans | $9,265.00 | ↑ +522% |
| United | Commercial|Cascade Care | $10,078.00 | ↑ +577% |
| BCBS - Premera | Commercial|All Plans | $13,489.69 | ↑ +806% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $8,451.84 | $3,656.33 – $13,496.13 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,942.40 | $3,518.52 – $8,954.64 |
| Swedish Medical Center Cherry Hill | Seattle | $8,451.84 | $3,656.33 – $12,997.30 |
| Swedish Issaquah | Issaquah | $8,451.84 | $3,666.59 – $13,496.13 |
| Central Medical Center | Seattle | $6,150.40 | not published |
| Providence St Mary Medical Center | Walla Walla | $4,561.90 | $2,824.42 – $6,509.26 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $2,476.76 | $1,985.00 – $10,503.15 |
| MultiCare Valley Hospital | Spokane Valley | $4,083.60 | $1,596.86 – $13,256.42 |