Biopsy of salivary gland 42400 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$563.60
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.
$1,594.95
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.
$271.15 with CHPW vs $4,556.00 with Cigna — 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 | $271.15 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $276.57 | ↓ -51% |
| SoundPath | Medicare|All Plans | $287.10 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $287.10 | ↓ -49% |
| Kaiser | Medicare|All Plans | $287.10 | ↓ -49% |
| United | Medicaid|All Plans | $287.41 | ↓ -49% |
| Molina | Medicaid|All Plans | $288.85 | ↓ -49% |
| Optum | Medicare|All Plans | $289.97 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $295.71 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $295.71 | ↓ -48% |
| CHPW | Medicare|All Plans | $301.45 | ↓ -47% |
| Humana | Medicare|All Plans | $307.19 | ↓ -45% |
| Molina | Medicare|All Plans | $310.06 | ↓ -45% |
| United | Medicare|All Plans | $310.06 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $330.16 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $330.16 | ↓ -41% |
| Aetna | Medicare|All Plans | $350.89 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $531.12 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $545.48 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $551.22 | ↓ -2% |
| Aetna | Commercial|AWH | $637.98 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $765.58 | ↑ +36% |
| Aetna | Commercial|Rental | $1,148.37 | ↑ +104% |
| First Choice | Commercial|All Plans | $1,196.22 | ↑ +112% |
| United | Commercial|Navigate | $1,236.90 | ↑ +119% |
| United | Commercial|All Other Plans | $1,302.00 | ↑ +131% |
| United | Commercial|Cascade Care | $1,416.00 | ↑ +151% |
| MultiPlan | Commercial|All Plans | $1,435.46 | ↑ +155% |
| Uniform Medical Plan | Commercial|All Plans | $1,738.85 | ↑ +209% |
| Kaiser | Commercial|HMO | $1,765.78 | ↑ +213% |
| Kaiser | Commercial|PPO | $1,942.50 | ↑ +245% |
| BCBS - Regence | Commercial|All Plans | $1,993.85 | ↑ +254% |
| BCBS - Premera | Commercial|All Plans | $2,977.58 | ↑ +428% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +708% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $1,899.84 | $820.01 – $2,867.05 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,369.50 | $789.10 – $2,008.27 |
| Swedish Medical Center Cherry Hill | Seattle | $1,899.84 | $820.01 – $2,775.55 |
| Swedish Issaquah | Issaquah | $1,899.84 | $822.31 – $2,867.05 |
| Providence St Mary Medical Center | Walla Walla | $807.80 | $623.43 – $2,769.45 |
| Kadlec Regional Medical Center | Richland | $3,678.50 | $102.98 – $2,263.14 |
| Providence Holy Family Hospital | Spokane | $1,922.90 | $789.10 – $3,379.00 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $2,870.92 | $806.42 – $5,987.00 |