Bx shoulder tissues supf 23065 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$773.24
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.
$2,188.20
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.
$372.00 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 | $372.00 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $379.44 | ↓ -51% |
| SoundPath | Medicare|All Plans | $393.88 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $393.88 | ↓ -49% |
| Kaiser | Medicare|All Plans | $393.88 | ↓ -49% |
| United | Medicaid|All Plans | $394.32 | ↓ -49% |
| Molina | Medicaid|All Plans | $396.29 | ↓ -49% |
| Optum | Medicare|All Plans | $397.82 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $405.70 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $405.70 | ↓ -48% |
| CHPW | Medicare|All Plans | $413.57 | ↓ -47% |
| Humana | Medicare|All Plans | $421.45 | ↓ -45% |
| Molina | Medicare|All Plans | $425.39 | ↓ -45% |
| United | Medicare|All Plans | $425.39 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $452.96 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $452.96 | ↓ -41% |
| Aetna | Medicare|All Plans | $481.41 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $728.68 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $748.37 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $756.25 | ↓ -2% |
| Aetna | Commercial|AWH | $875.28 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $1,050.34 | ↑ +36% |
| United | Commercial|Navigate | $1,236.90 | ↑ +60% |
| United | Commercial|All Other Plans | $1,302.00 | ↑ +68% |
| United | Commercial|Cascade Care | $1,416.00 | ↑ +83% |
| Aetna | Commercial|Rental | $1,575.51 | ↑ +104% |
| First Choice | Commercial|All Plans | $1,641.15 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $1,969.38 | ↑ +155% |
| Uniform Medical Plan | Commercial|All Plans | $4,006.93 | ↑ +418% |
| Kaiser | Commercial|HMO | $4,080.13 | ↑ +428% |
| Kaiser | Commercial|PPO | $4,488.45 | ↑ +480% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +489% |
| BCBS - Regence | Commercial|All Plans | $4,594.55 | ↑ +494% |
| BCBS - Premera | Commercial|All Plans | $6,861.40 | ↑ +787% |
Visitor-reported prices
Comments
Bx shoulder tissues supf 23065 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,293.50 | $1,840.45 – $4,683.94 |
| St. Michael Medical Center | Silverdale | $965.76 | $1,378.57 – $7,067.38 |
| St. Anne Hospital | Burien | $668.18 | $940.93 – $1,969.38 |
| St. Anthony Hospital | Gig Harbor | $665.54 | $1,575.51 – $4,080.13 |
| St. Joseph Medical Center | Tacoma | $724.73 | $1,575.51 – $4,080.13 |
| Virginia Mason Medical Center | Seattle | $2,026.74 | $6.71 – $3,213.23 |
| St. Francis Hospital | Federal Way | $686.71 | $1,575.51 – $4,080.13 |
| St. Clare Hospital | Lakewood | $630.73 | $1,575.51 – $4,080.13 |