Calculi urinary-sendout at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$40.31
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.
$114.05
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.
$12.87 with Amerigroup vs $102.65 with MultiPlan — 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 |
|---|---|---|---|
| Amerigroup | Medicare|All Plans | $12.87 | ↓ -68% |
| Aetna | Medicare|All Plans | $12.87 | ↓ -68% |
| BCBS - Regence | Medicare|All Plans | $12.87 | ↓ -68% |
| Kaiser | Medicare|All Plans | $12.87 | ↓ -68% |
| United | Medicare|All Plans | $12.87 | ↓ -68% |
| SoundPath | Medicare|All Plans | $12.87 | ↓ -68% |
| Optum | Medicare|All Plans | $13.00 | ↓ -68% |
| BCBS - Premera | Medicare|All Plans | $13.26 | ↓ -67% |
| CHPW | Medicare|All Plans | $13.51 | ↓ -66% |
| BCBS - Regence | Commercial|All Plans | $13.51 | ↓ -66% |
| Humana | Medicare|All Plans | $13.77 | ↓ -66% |
| Molina | Medicare|All Plans | $13.90 | ↓ -66% |
| Seattle Medical Group | Medicare|All Plans | $14.80 | ↓ -63% |
| BCBS - Premera | Commercial|All Plans | $19.31 | ↓ -52% |
| Uniform Medical Plan | Commercial|All Plans | $19.31 | ↓ -52% |
| CHPW | Medicaid|All Plans | $19.39 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $19.78 | ↓ -51% |
| United | Medicaid|All Plans | $20.56 | ↓ -49% |
| Molina | Medicaid|All Plans | $20.66 | ↓ -49% |
| Cigna | Commercial|All Plans | $23.35 | ↓ -42% |
| WellPoint | Medicaid|All Plans | $23.61 | ↓ -41% |
| Coordinated Care | Commercial|Ambetter Exchange | $23.81 | ↓ -41% |
| Sound Family Medicine | Commercial|All Plans | $24.45 | ↓ -39% |
| Molina | Commercial|Marketplace Exchange | $24.71 | ↓ -39% |
| Aetna | Commercial|AWH | $45.62 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $54.75 | ↑ +36% |
| United | Commercial|Navigate | $55.89 | ↑ +39% |
| United | Commercial|Cascade Care | $55.89 | ↑ +39% |
| United | Commercial|All Other Plans | $59.31 | ↑ +47% |
| Aetna | Commercial|Rental | $82.12 | ↑ +104% |
| First Choice | Commercial|All Plans | $85.54 | ↑ +112% |
| Aetna | Commercial|WEA | $95.38 | ↑ +137% |
| MultiPlan | Commercial|All Plans | $102.65 | ↑ +155% |
Visitor-reported prices
Comments
Calculi urinary-sendout at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $130.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $93.60 | $11.58 – $60.49 |
| Swedish Medical Center Cherry Hill | Seattle | $93.60 | $11.58 – $58.56 |
| Swedish Issaquah | Issaquah | $93.60 | $11.58 – $60.49 |
| Central Medical Center | Seattle | $57.60 | $10.00 – $10.00 |
| Providence Mount Carmel Hospital | Colville | $121.80 | not published |
| Providence St Mary Medical Center | Walla Walla | $32.90 | $12.87 – $23.81 |
| Kadlec Regional Medical Center | Richland | $222.60 | $12.87 – $50.32 |