Bx bone trocar/ndl deep at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,002.94
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.
$2,838.26
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.
$482.51 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 | $482.51 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $492.16 | ↓ -51% |
| SoundPath | Medicare|All Plans | $510.89 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $510.89 | ↓ -49% |
| Kaiser | Medicare|All Plans | $510.89 | ↓ -49% |
| United | Medicaid|All Plans | $511.46 | ↓ -49% |
| Molina | Medicaid|All Plans | $514.01 | ↓ -49% |
| Optum | Medicare|All Plans | $516.00 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $526.22 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $526.22 | ↓ -48% |
| CHPW | Medicare|All Plans | $536.44 | ↓ -47% |
| Humana | Medicare|All Plans | $546.65 | ↓ -45% |
| Molina | Medicare|All Plans | $551.76 | ↓ -45% |
| United | Medicare|All Plans | $551.76 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $587.52 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $587.52 | ↓ -41% |
| Aetna | Medicare|All Plans | $624.42 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $945.15 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $970.69 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $980.91 | ↓ -2% |
| Aetna | Commercial|AWH | $1,135.31 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $1,362.37 | ↑ +36% |
| United | Commercial|Navigate | $1,711.90 | ↑ +71% |
| United | Commercial|All Other Plans | $1,802.00 | ↑ +80% |
| United | Commercial|Cascade Care | $1,960.00 | ↑ +95% |
| Aetna | Commercial|Rental | $2,043.55 | ↑ +104% |
| First Choice | Commercial|All Plans | $2,128.70 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $2,554.44 | ↑ +155% |
| Uniform Medical Plan | Commercial|All Plans | $4,006.93 | ↑ +300% |
| Kaiser | Commercial|HMO | $4,080.13 | ↑ +307% |
| Kaiser | Commercial|PPO | $4,488.45 | ↑ +348% |
| BCBS - Regence | Commercial|All Plans | $4,594.55 | ↑ +358% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +490% |
| BCBS - Premera | Commercial|All Plans | $6,861.40 | ↑ +584% |
Visitor-reported prices
Comments
Bx bone trocar/ndl deep 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 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $4,145.40 | $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 |
| Central Medical Center | Seattle | $3,760.00 | not published |
| Providence Mount Carmel Hospital | Colville | $1,654.80 | not published |
| Providence St Mary Medical Center | Walla Walla | $2,780.40 | $1,436.62 – $3,404.83 |
| Kadlec Regional Medical Center | Richland | $3,430.70 | $217.44 – $5,092.35 |