Cryptococcus abs qn - sendout at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$82.46
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.
$233.33
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.
$14.41 with Amerigroup vs $210.00 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 | $14.41 | ↓ -83% |
| Aetna | Medicare|All Plans | $14.41 | ↓ -83% |
| BCBS - Regence | Medicare|All Plans | $14.41 | ↓ -83% |
| Kaiser | Medicare|All Plans | $14.41 | ↓ -83% |
| United | Medicare|All Plans | $14.41 | ↓ -83% |
| SoundPath | Medicare|All Plans | $14.41 | ↓ -83% |
| Optum | Medicare|All Plans | $14.55 | ↓ -82% |
| BCBS - Premera | Medicare|All Plans | $14.84 | ↓ -82% |
| CHPW | Medicare|All Plans | $15.13 | ↓ -82% |
| BCBS - Regence | Commercial|All Plans | $15.13 | ↓ -82% |
| Humana | Medicare|All Plans | $15.42 | ↓ -81% |
| Molina | Medicare|All Plans | $15.56 | ↓ -81% |
| Seattle Medical Group | Medicare|All Plans | $16.57 | ↓ -80% |
| Uniform Medical Plan | Commercial|All Plans | $21.62 | ↓ -74% |
| BCBS - Premera | Commercial|All Plans | $21.62 | ↓ -74% |
| Cigna | Commercial|All Plans | $26.13 | ↓ -68% |
| Coordinated Care | Commercial|Ambetter Exchange | $26.66 | ↓ -68% |
| Sound Family Medicine | Commercial|All Plans | $27.38 | ↓ -67% |
| Molina | Commercial|Marketplace Exchange | $27.67 | ↓ -66% |
| CHPW | Medicaid|All Plans | $39.67 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $40.46 | ↓ -51% |
| United | Medicaid|All Plans | $42.05 | ↓ -49% |
| Molina | Medicaid|All Plans | $42.26 | ↓ -49% |
| WellPoint | Medicaid|All Plans | $48.30 | ↓ -41% |
| Aetna | Commercial|AWH | $66.75 | ↓ -19% |
| Aetna | Commercial|All Other Plans | $78.53 | ↓ -5% |
| First Choice | Commercial|All Plans | $104.14 | ↑ +26% |
| Aetna | Commercial|WEA | $106.82 | ↑ +30% |
| United | Commercial|Cascade Care | $114.34 | ↑ +39% |
| United | Commercial|Navigate | $114.34 | ↑ +39% |
| United | Commercial|All Other Plans | $121.34 | ↑ +47% |
| Aetna | Commercial|Rental | $168.00 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $210.00 | ↑ +155% |
Visitor-reported prices
Comments
Cryptococcus abs qn - sendout at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $241.50 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $53.90 | $14.41 – $51.88 |
| Central Medical Center | Seattle | $64.00 | $11.00 – $11.00 |
| Providence Mount Carmel Hospital | Colville | $49.00 | not published |
| Providence St Mary Medical Center | Walla Walla | $68.60 | $14.41 – $26.66 |
| Kadlec Regional Medical Center | Richland | $85.40 | $14.41 – $56.34 |
| Providence Holy Family Hospital | Spokane | $126.70 | $14.41 – $61.52 |
| MultiCare Valley Hospital | Spokane Valley | $64.00 | $7.07 – $26.13 |