Cell function assay w/stim at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$131.87
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.
$373.18
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.
$63.45 with CHPW vs $1,006.89 with Aetna — 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 | $63.45 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $64.71 | ↓ -51% |
| United | Medicaid|All Plans | $67.25 | ↓ -49% |
| Molina | Medicaid|All Plans | $67.59 | ↓ -49% |
| WellPoint | Medicaid|All Plans | $77.25 | ↓ -41% |
| Amerigroup | Medicare|All Plans | $135.86 | ↑ +3% |
| SoundPath | Medicare|All Plans | $135.86 | ↑ +3% |
| Aetna | Medicare|All Plans | $135.86 | ↑ +3% |
| BCBS - Regence | Medicare|All Plans | $135.86 | ↑ +3% |
| Kaiser | Medicare|All Plans | $135.86 | ↑ +3% |
| United | Medicare|All Plans | $135.86 | ↑ +3% |
| Optum | Medicare|All Plans | $137.22 | ↑ +4% |
| BCBS - Premera | Medicare|All Plans | $139.94 | ↑ +6% |
| CHPW | Medicare|All Plans | $142.65 | ↑ +8% |
| BCBS - Regence | Commercial|All Plans | $142.65 | ↑ +8% |
| Humana | Medicare|All Plans | $145.37 | ↑ +10% |
| Molina | Medicare|All Plans | $146.73 | ↑ +11% |
| Aetna | Commercial|AWH | $149.28 | ↑ +13% |
| Seattle Medical Group | Medicare|All Plans | $156.24 | ↑ +18% |
| Aetna | Commercial|All Other Plans | $179.13 | ↑ +36% |
| United | Commercial|Cascade Care | $182.86 | ↑ +39% |
| United | Commercial|Navigate | $182.86 | ↑ +39% |
| United | Commercial|All Other Plans | $194.06 | ↑ +47% |
| BCBS - Premera | Commercial|All Plans | $203.79 | ↑ +55% |
| Uniform Medical Plan | Commercial|All Plans | $203.79 | ↑ +55% |
| Cigna | Commercial|All Plans | $246.39 | ↑ +87% |
| Coordinated Care | Commercial|Ambetter Exchange | $251.34 | ↑ +91% |
| Sound Family Medicine | Commercial|All Plans | $258.13 | ↑ +96% |
| Molina | Commercial|Marketplace Exchange | $260.85 | ↑ +98% |
| Aetna | Commercial|Rental | $268.69 | ↑ +104% |
| First Choice | Commercial|All Plans | $279.89 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $335.87 | ↑ +155% |
| Aetna | Commercial|WEA | $1,006.89 | ↑ +664% |
Visitor-reported prices
Comments
Cell function assay w/stim at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $521.76 | $122.27 – $638.54 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,215.20 | $135.86 – $489.10 |
| Swedish Medical Center Cherry Hill | Seattle | $521.76 | $122.27 – $618.16 |
| Swedish Issaquah | Issaquah | $521.76 | $122.27 – $638.54 |
| Providence St Mary Medical Center | Walla Walla | $242.90 | $135.86 – $251.34 |
| MultiCare Valley Hospital | Spokane Valley | $600.00 | $20.55 – $246.31 |
| St. Michael Medical Center | Silverdale | $164.71 | $135.86 – $335.87 |
| St. Anne Hospital | Burien | $113.96 | $135.86 – $798.58 |