Chromosome banding study at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$94.09
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.
$266.26
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.
$45.27 with CHPW vs $239.64 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 | $45.27 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $46.17 | ↓ -51% |
| United | Medicaid|All Plans | $47.99 | ↓ -49% |
| Molina | Medicaid|All Plans | $48.22 | ↓ -49% |
| WellPoint | Medicaid|All Plans | $55.12 | ↓ -41% |
| United | Medicare|All Plans | $68.60 | ↓ -27% |
| Aetna | Medicare|All Plans | $68.60 | ↓ -27% |
| SoundPath | Medicare|All Plans | $68.60 | ↓ -27% |
| BCBS - Regence | Medicare|All Plans | $68.60 | ↓ -27% |
| Kaiser | Medicare|All Plans | $68.60 | ↓ -27% |
| Amerigroup | Medicare|All Plans | $68.60 | ↓ -27% |
| Optum | Medicare|All Plans | $69.29 | ↓ -26% |
| BCBS - Premera | Medicare|All Plans | $70.66 | ↓ -25% |
| BCBS - Regence | Commercial|All Plans | $72.03 | ↓ -23% |
| CHPW | Medicare|All Plans | $72.03 | ↓ -23% |
| Humana | Medicare|All Plans | $73.40 | ↓ -22% |
| Molina | Medicare|All Plans | $74.09 | ↓ -21% |
| Seattle Medical Group | Medicare|All Plans | $78.89 | ↓ -16% |
| BCBS - Premera | Commercial|All Plans | $102.90 | ↑ +9% |
| Uniform Medical Plan | Commercial|All Plans | $102.90 | ↑ +9% |
| Aetna | Commercial|AWH | $106.51 | ↑ +13% |
| Cigna | Commercial|All Plans | $124.41 | ↑ +32% |
| Coordinated Care | Commercial|Ambetter Exchange | $126.91 | ↑ +35% |
| Aetna | Commercial|All Other Plans | $127.81 | ↑ +36% |
| Sound Family Medicine | Commercial|All Plans | $130.34 | ↑ +39% |
| United | Commercial|Cascade Care | $130.47 | ↑ +39% |
| United | Commercial|Navigate | $130.47 | ↑ +39% |
| Molina | Commercial|Marketplace Exchange | $131.71 | ↑ +40% |
| United | Commercial|All Other Plans | $138.46 | ↑ +47% |
| Aetna | Commercial|Rental | $191.71 | ↑ +104% |
| First Choice | Commercial|All Plans | $199.70 | ↑ +112% |
| Aetna | Commercial|WEA | $210.68 | ↑ +124% |
| MultiPlan | Commercial|All Plans | $239.64 | ↑ +155% |
Visitor-reported prices
Comments
Chromosome banding study at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $158.90 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $156.48 | $61.74 – $322.42 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $247.10 | $68.60 – $246.96 |
| Swedish Medical Center Cherry Hill | Seattle | $156.48 | $61.74 – $312.13 |
| Swedish Issaquah | Issaquah | $156.48 | $61.74 – $322.42 |
| Central Medical Center | Seattle | $308.00 | $185.00 – $185.00 |
| Providence Mount Carmel Hospital | Colville | $357.70 | not published |
| Swedish Edmonds Hospital | Edmonds | $156.48 | $68.60 – $308.70 |