Bone marrow biopsyneedle/trocar 38221 at St. Elizabeth Hospital

1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 17, 2026

$1,323.36

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$3,745.01

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$578.78 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 →

Payer
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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
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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 $578.78 ↓ -56%
Coordinated Care Medicaid|All Plans $590.36 ↓ -55%
SoundPath Medicare|All Plans $612.83 ↓ -54%
Amerigroup Medicare|All Plans $612.83 ↓ -54%
Kaiser Medicare|All Plans $612.83 ↓ -54%
United Medicaid|All Plans $613.51 ↓ -54%
Molina Medicaid|All Plans $616.57 ↓ -53%
Optum Medicare|All Plans $618.95 ↓ -53%
BCBS - Regence Medicare|All Plans $631.21 ↓ -52%
BCBS - Premera Medicare|All Plans $631.21 ↓ -52%
CHPW Medicare|All Plans $643.47 ↓ -51%
Humana Medicare|All Plans $655.72 ↓ -50%
Molina Medicare|All Plans $661.85 ↓ -50%
United Medicare|All Plans $661.85 ↓ -50%
Seattle Medical Group Medicare|All Plans $704.75 ↓ -47%
WellPoint Medicaid|All Plans $704.75 ↓ -47%
Aetna Medicare|All Plans $749.01 ↓ -43%
First Choice Commercial|All Plans $979.02 ↓ -26%
Coordinated Care Commercial|Ambetter Exchange $1,133.72 ↓ -14%
Sound Family Medicine Commercial|All Plans $1,164.36 ↓ -12%
Molina Commercial|Marketplace Exchange $1,176.62 ↓ -11%
United Commercial|Navigate $1,236.90 ↓ -7%
United Commercial|All Other Plans $1,302.00 ↓ -2%
Aetna Commercial|AWH $1,361.83 ↑ +3%
United Commercial|Cascade Care $1,416.00 ↑ +7%
Aetna Commercial|All Other Plans $1,634.19 ↑ +23%
Aetna Commercial|Rental $2,451.29 ↑ +85%
MultiPlan Commercial|All Plans $3,064.11 ↑ +132%
Uniform Medical Plan Commercial|All Plans $4,006.93 ↑ +203%
Kaiser Commercial|HMO $4,080.13 ↑ +208%
Kaiser Commercial|PPO $4,488.45 ↑ +239%
Cigna Commercial|All Plans $4,556.00 ↑ +244%
BCBS - Regence Commercial|All Plans $4,594.55 ↑ +247%
BCBS - Premera Commercial|All Plans $6,861.40 ↑ +418%

Visitor-reported prices

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Bone marrow biopsyneedle/trocar 38221 at other Washington hospitals

Hospital City Cash price Negotiated range
Providence St Joseph Hospital Chewelah $318.50 not published
Swedish Medical Center - First Hill Campus Seattle $4,420.32 $1,912.53 – $6,684.56
Providence Sacred Heart Medical Center and Children's Hospital Spokane $2,676.10 $1,840.45 – $4,683.94
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
Providence Mount Carmel Hospital Colville $381.50 not published
Providence St Mary Medical Center Walla Walla $966.00 $1,436.62 – $3,404.83
Kadlec Regional Medical Center Richland $2,445.10 $118.75 – $5,092.35

All Washington hospitals for this procedure →