Chronic urticaria - sendout at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$80.12
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.
$226.71
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.
$12.46 with Amerigroup vs $204.04 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 | $12.46 | ↓ -84% |
| Aetna | Medicare|All Plans | $12.46 | ↓ -84% |
| BCBS - Regence | Medicare|All Plans | $12.46 | ↓ -84% |
| Kaiser | Medicare|All Plans | $12.46 | ↓ -84% |
| United | Medicare|All Plans | $12.46 | ↓ -84% |
| SoundPath | Medicare|All Plans | $12.46 | ↓ -84% |
| Optum | Medicare|All Plans | $12.58 | ↓ -84% |
| BCBS - Premera | Medicare|All Plans | $12.83 | ↓ -84% |
| CHPW | Medicare|All Plans | $13.08 | ↓ -84% |
| BCBS - Regence | Commercial|All Plans | $13.08 | ↓ -84% |
| Humana | Medicare|All Plans | $13.33 | ↓ -83% |
| Molina | Medicare|All Plans | $13.46 | ↓ -83% |
| Seattle Medical Group | Medicare|All Plans | $14.33 | ↓ -82% |
| Uniform Medical Plan | Commercial|All Plans | $18.69 | ↓ -77% |
| BCBS - Premera | Commercial|All Plans | $18.69 | ↓ -77% |
| Cigna | Commercial|All Plans | $22.60 | ↓ -72% |
| Coordinated Care | Commercial|Ambetter Exchange | $23.05 | ↓ -71% |
| Sound Family Medicine | Commercial|All Plans | $23.67 | ↓ -70% |
| Molina | Commercial|Marketplace Exchange | $23.92 | ↓ -70% |
| CHPW | Medicaid|All Plans | $38.55 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $39.32 | ↓ -51% |
| United | Medicaid|All Plans | $40.86 | ↓ -49% |
| Molina | Medicaid|All Plans | $41.06 | ↓ -49% |
| WellPoint | Medicaid|All Plans | $46.93 | ↓ -41% |
| Aetna | Commercial|AWH | $57.72 | ↓ -28% |
| Aetna | Commercial|All Other Plans | $67.91 | ↓ -15% |
| First Choice | Commercial|All Plans | $90.01 | ↑ +12% |
| Aetna | Commercial|WEA | $92.35 | ↑ +15% |
| United | Commercial|Cascade Care | $111.09 | ↑ +39% |
| United | Commercial|Navigate | $111.09 | ↑ +39% |
| United | Commercial|All Other Plans | $117.89 | ↑ +47% |
| Aetna | Commercial|Rental | $163.24 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $204.04 | ↑ +155% |
Visitor-reported prices
Comments
Chronic urticaria - sendout at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $56.00 | $10.00 – $10.00 |
| St. Michael Medical Center | Silverdale | $100.06 | $12.46 – $204.04 |
| St. Anne Hospital | Burien | $69.23 | $12.46 – $204.04 |
| St. Anthony Hospital | Gig Harbor | $68.96 | $12.46 – $170.04 |
| St. Joseph Medical Center | Tacoma | $75.09 | $12.46 – $170.04 |
| Virginia Mason Medical Center | Seattle | $36.21 | $8.72 – $38.95 |
| St. Francis Hospital | Federal Way | $71.15 | $12.46 – $170.04 |
| St. Clare Hospital | Lakewood | $65.35 | $12.46 – $170.04 |