Breath test analysis c-14 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$268.43
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.
$759.62
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.
$94.41 with BCBS - Regence vs $949.00 with United — 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 |
|---|---|---|---|
| BCBS - Regence | Medicare|All Plans | $94.41 | ↓ -65% |
| SoundPath | Medicare|All Plans | $94.41 | ↓ -65% |
| Aetna | Medicare|All Plans | $94.41 | ↓ -65% |
| Amerigroup | Medicare|All Plans | $94.41 | ↓ -65% |
| Kaiser | Medicare|All Plans | $94.41 | ↓ -65% |
| United | Medicare|All Plans | $94.41 | ↓ -65% |
| Optum | Medicare|All Plans | $95.35 | ↓ -64% |
| BCBS - Premera | Medicare|All Plans | $97.24 | ↓ -64% |
| CHPW | Medicare|All Plans | $99.13 | ↓ -63% |
| BCBS - Regence | Commercial|All Plans | $99.13 | ↓ -63% |
| Humana | Medicare|All Plans | $101.02 | ↓ -62% |
| Molina | Medicare|All Plans | $101.96 | ↓ -62% |
| Seattle Medical Group | Medicare|All Plans | $108.57 | ↓ -60% |
| CHPW | Medicaid|All Plans | $129.14 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $131.72 | ↓ -51% |
| United | Medicaid|All Plans | $136.89 | ↓ -49% |
| Molina | Medicaid|All Plans | $137.57 | ↓ -49% |
| Uniform Medical Plan | Commercial|All Plans | $141.62 | ↓ -47% |
| BCBS - Premera | Commercial|All Plans | $141.62 | ↓ -47% |
| WellPoint | Medicaid|All Plans | $157.25 | ↓ -41% |
| Coordinated Care | Commercial|Ambetter Exchange | $174.66 | ↓ -35% |
| Sound Family Medicine | Commercial|All Plans | $179.38 | ↓ -33% |
| Molina | Commercial|Marketplace Exchange | $181.27 | ↓ -32% |
| Cigna | Commercial|All Plans | $221.58 | ↓ -17% |
| Kaiser | Commercial|HMO | $256.88 | ↓ -4% |
| Kaiser | Commercial|PPO | $282.59 | ↑ +5% |
| Aetna | Commercial|AWH | $303.85 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $364.62 | ↑ +36% |
| First Choice | Commercial|All Plans | $486.54 | ↑ +81% |
| Aetna | Commercial|Rental | $546.93 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $683.66 | ↑ +155% |
| United | Commercial|Cascade Care | $793.00 | ↑ +195% |
| United | Commercial|Navigate | $901.55 | ↑ +236% |
| United | Commercial|All Other Plans | $949.00 | ↑ +254% |
Visitor-reported prices
Comments
Breath test analysis c-14 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $299.04 | $84.97 – $350.88 |
| Swedish Medical Center Cherry Hill | Seattle | $299.04 | $84.97 – $350.88 |
| Swedish Issaquah | Issaquah | $299.04 | $84.97 – $350.88 |
| St. Michael Medical Center | Silverdale | $335.26 | $94.41 – $683.66 |
| St. Anne Hospital | Burien | $231.96 | $94.41 – $683.66 |
| St. Anthony Hospital | Gig Harbor | $231.04 | $94.41 – $569.72 |
| St. Joseph Medical Center | Tacoma | $251.59 | $94.41 – $569.72 |
| Virginia Mason Medical Center | Seattle | $264.69 | $23.55 – $1,226.44 |