Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$11,908.38
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.
$33,700.00
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.
$4.82 with BCBS - Premera vs $4,741.20 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 |
|---|---|---|---|
| BCBS - Premera | Commercial|All Plans | $4.82 | ↓ -100% |
| Uniform Medical Plan | Commercial|All Plans | $4.91 | ↓ -100% |
| BCBS - Regence | Commercial|All Plans | $4.91 | ↓ -100% |
| Aetna | Commercial|AWH | $5.93 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $6.98 | ↓ -100% |
| United | Commercial|Cascade Care | $8.02 | ↓ -100% |
| United | Commercial|Navigate | $12.57 | ↓ -100% |
| United | Commercial|All Other Plans | $13.23 | ↓ -100% |
| Kaiser | Commercial|HMO | $14.91 | ↓ -100% |
| Kaiser | Commercial|PPO | $16.40 | ↓ -100% |
| CHPW | Medicaid|All Plans | $895.56 | ↓ -92% |
| Coordinated Care | Medicaid|All Plans | $913.48 | ↓ -92% |
| SoundPath | Medicare|All Plans | $948.24 | ↓ -92% |
| Amerigroup | Medicare|All Plans | $948.24 | ↓ -92% |
| Kaiser | Medicare|All Plans | $948.24 | ↓ -92% |
| United | Medicaid|All Plans | $949.30 | ↓ -92% |
| Molina | Medicaid|All Plans | $954.04 | ↓ -92% |
| Optum | Medicare|All Plans | $957.73 | ↓ -92% |
| BCBS - Regence | Medicare|All Plans | $976.69 | ↓ -92% |
| BCBS - Premera | Medicare|All Plans | $976.69 | ↓ -92% |
| CHPW | Medicare|All Plans | $995.66 | ↓ -92% |
| Humana | Medicare|All Plans | $1,014.62 | ↓ -91% |
| Molina | Medicare|All Plans | $1,024.10 | ↓ -91% |
| United | Medicare|All Plans | $1,024.10 | ↓ -91% |
| Seattle Medical Group | Medicare|All Plans | $1,090.48 | ↓ -91% |
| WellPoint | Medicaid|All Plans | $1,090.48 | ↓ -91% |
| Aetna | Medicare|All Plans | $1,158.96 | ↓ -90% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,754.25 | ↓ -85% |
| Sound Family Medicine | Commercial|All Plans | $1,801.66 | ↓ -85% |
| Molina | Commercial|Marketplace Exchange | $1,820.63 | ↓ -85% |
| Cigna | Commercial|All Plans | $2,634.00 | ↓ -78% |
| Aetna | Commercial|Rental | $3,792.96 | ↓ -68% |
| First Choice | Commercial|All Plans | $3,951.00 | ↓ -67% |
| MultiPlan | Commercial|All Plans | $4,741.20 | ↓ -60% |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Centralia Hospital | Centralia | $16,420.53 | $3.79 – $25.57 |
| Providence Mount Carmel Hospital | Colville | $13,638.94 | not published |
| Providence St Mary Medical Center | Walla Walla | $14,675.23 | $3.79 – $27.53 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $11,739.18 | $3.79 – $19.18 |
| St. Michael Medical Center | Silverdale | $14,873.43 | $8.91 – $4,741.20 |
| St. Anne Hospital | Burien | $10,290.49 | $2,265.24 – $4,741.20 |
| St. Anthony Hospital | Gig Harbor | $10,249.82 | $14.91 – $3,951.00 |
| St. Joseph Medical Center | Tacoma | $11,161.36 | $14.91 – $3,951.00 |