Cath combo lt&rt heart w/inj/s at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$12,917.10
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.
$36,554.60
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.
$6,214.29 with CHPW vs $32,899.14 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 |
|---|---|---|---|
| CHPW | Medicaid|All Plans | $6,214.29 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $6,338.57 | ↓ -51% |
| Kaiser | Medicare|All Plans | $6,579.83 | ↓ -49% |
| SoundPath | Medicare|All Plans | $6,579.83 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $6,579.83 | ↓ -49% |
| United | Medicaid|All Plans | $6,587.14 | ↓ -49% |
| Molina | Medicaid|All Plans | $6,620.04 | ↓ -49% |
| Optum | Medicare|All Plans | $6,645.63 | ↓ -49% |
| Cigna | Commercial|All Plans | $6,725.00 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $6,777.23 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $6,777.23 | ↓ -48% |
| CHPW | Medicare|All Plans | $6,908.82 | ↓ -47% |
| Humana | Medicare|All Plans | $7,040.42 | ↓ -45% |
| Molina | Medicare|All Plans | $7,106.22 | ↓ -45% |
| United | Medicare|All Plans | $7,106.22 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $7,566.81 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $7,566.81 | ↓ -41% |
| Aetna | Medicare|All Plans | $8,042.02 | ↓ -38% |
| Kaiser | Commercial|HMO | $8,049.67 | ↓ -38% |
| Uniform Medical Plan | Commercial|All Plans | $8,053.36 | ↓ -38% |
| Kaiser | Commercial|PPO | $8,855.26 | ↓ -31% |
| BCBS - Regence | Commercial|All Plans | $9,234.40 | ↓ -29% |
| United | Commercial|Navigate | $9,906.60 | ↓ -23% |
| United | Commercial|All Other Plans | $10,428.00 | ↓ -19% |
| First Choice | Commercial|All Plans | $10,656.20 | ↓ -18% |
| United | Commercial|Cascade Care | $11,343.00 | ↓ -12% |
| Coordinated Care | Commercial|Ambetter Exchange | $12,172.69 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $12,501.68 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $12,633.27 | ↓ -2% |
| BCBS - Premera | Commercial|All Plans | $13,790.45 | ↑ +7% |
| Aetna | Commercial|AWH | $14,621.84 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $17,546.21 | ↑ +36% |
| Aetna | Commercial|Rental | $26,319.32 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $32,899.14 | ↑ +155% |
Visitor-reported prices
Comments
Cath combo lt&rt heart w/inj/s at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $10,188.00 | $3,754.12 – $13,879.26 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $12,224.80 | $3,612.63 – $9,194.14 |
| Swedish Medical Center Cherry Hill | Seattle | $10,188.00 | $3,754.12 – $13,366.27 |
| Swedish Issaquah | Issaquah | $10,188.00 | $3,764.66 – $13,879.26 |
| Central Medical Center | Seattle | $7,760.00 | not published |
| Providence St Mary Medical Center | Walla Walla | $9,835.00 | $2,887.40 – $6,683.36 |
| Kadlec Regional Medical Center | Richland | $9,818.20 | $2,033.24 – $10,573.31 |
| Providence Holy Family Hospital | Spokane | $13,256.60 | $3,612.63 – $19,564.00 |