Biopsy of penis 54100 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,177.34
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.
$3,331.79
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.
$566.41 with CHPW vs $6,861.40 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 | $566.41 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $577.74 | ↓ -51% |
| SoundPath | Medicare|All Plans | $599.73 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $599.73 | ↓ -49% |
| Kaiser | Medicare|All Plans | $599.73 | ↓ -49% |
| United | Medicaid|All Plans | $600.39 | ↓ -49% |
| Molina | Medicaid|All Plans | $603.39 | ↓ -49% |
| Optum | Medicare|All Plans | $605.72 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $617.72 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $617.72 | ↓ -48% |
| CHPW | Medicare|All Plans | $629.71 | ↓ -47% |
| Humana | Medicare|All Plans | $641.71 | ↓ -45% |
| Molina | Medicare|All Plans | $647.70 | ↓ -45% |
| United | Medicare|All Plans | $647.70 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $689.69 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $689.69 | ↓ -41% |
| Aetna | Medicare|All Plans | $733.00 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,109.49 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $1,139.48 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $1,151.47 | ↓ -2% |
| Aetna | Commercial|AWH | $1,332.72 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $1,599.26 | ↑ +36% |
| United | Commercial|Navigate | $1,711.90 | ↑ +45% |
| United | Commercial|All Other Plans | $1,802.00 | ↑ +53% |
| United | Commercial|Cascade Care | $1,960.00 | ↑ +66% |
| Aetna | Commercial|Rental | $2,398.89 | ↑ +104% |
| First Choice | Commercial|All Plans | $2,498.85 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $2,998.62 | ↑ +155% |
| Uniform Medical Plan | Commercial|All Plans | $4,006.93 | ↑ +240% |
| Kaiser | Commercial|HMO | $4,080.13 | ↑ +247% |
| Kaiser | Commercial|PPO | $4,488.45 | ↑ +281% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +287% |
| BCBS - Regence | Commercial|All Plans | $4,594.55 | ↑ +290% |
| BCBS - Premera | Commercial|All Plans | $6,861.40 | ↑ +483% |
Visitor-reported prices
Comments
Biopsy of penis 54100 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $4,420.32 | $1,912.53 – $6,684.56 |
| Swedish Medical Center Cherry Hill | Seattle | $4,420.32 | $1,912.53 – $6,437.49 |
| Swedish Issaquah | Issaquah | $4,420.32 | $1,917.90 – $6,684.56 |
| MultiCare Yakima Memorial Hospital | Yakima | $1,787.60 | $1,970.33 – $5,046.04 |
| St. Michael Medical Center | Silverdale | $1,470.48 | $2,099.03 – $7,067.38 |
| St. Anne Hospital | Burien | $1,017.39 | $1,432.67 – $2,998.62 |
| St. Anthony Hospital | Gig Harbor | $1,013.36 | $2,398.89 – $4,080.13 |
| St. Joseph Medical Center | Tacoma | $1,103.49 | $2,398.89 – $4,080.13 |