Cyclophosphamide 25 mg capsule at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$367.10
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.
$1,038.85
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.
$1.13 with Aetna vs $155.84 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 |
|---|---|---|---|
| Aetna | Commercial|AWH | $1.13 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $1.32 | ↓ -100% |
| CHPW | Medicaid|All Plans | $29.44 | ↓ -92% |
| Coordinated Care | Medicaid|All Plans | $30.03 | ↓ -92% |
| Amerigroup | Medicare|All Plans | $31.17 | ↓ -92% |
| SoundPath | Medicare|All Plans | $31.17 | ↓ -92% |
| Kaiser | Medicare|All Plans | $31.17 | ↓ -92% |
| United | Medicaid|All Plans | $31.21 | ↓ -91% |
| Molina | Medicaid|All Plans | $31.36 | ↓ -91% |
| Optum | Medicare|All Plans | $31.48 | ↓ -91% |
| BCBS - Regence | Medicare|All Plans | $32.11 | ↓ -91% |
| BCBS - Premera | Medicare|All Plans | $32.11 | ↓ -91% |
| CHPW | Medicare|All Plans | $32.73 | ↓ -91% |
| Humana | Medicare|All Plans | $33.35 | ↓ -91% |
| Molina | Medicare|All Plans | $33.67 | ↓ -91% |
| United | Medicare|All Plans | $33.67 | ↓ -91% |
| WellPoint | Medicaid|All Plans | $35.85 | ↓ -90% |
| Seattle Medical Group | Medicare|All Plans | $35.85 | ↓ -90% |
| Aetna | Medicare|All Plans | $38.10 | ↓ -90% |
| Coordinated Care | Commercial|Ambetter Exchange | $57.66 | ↓ -84% |
| Sound Family Medicine | Commercial|All Plans | $59.22 | ↓ -84% |
| Molina | Commercial|Marketplace Exchange | $59.85 | ↓ -84% |
| United | Commercial|Cascade Care | $62.34 | ↓ -83% |
| United | Commercial|Navigate | $64.07 | ↓ -83% |
| United | Commercial|All Other Plans | $67.53 | ↓ -82% |
| Cigna | Commercial|All Plans | $86.58 | ↓ -76% |
| Aetna | Commercial|Rental | $124.67 | ↓ -66% |
| First Choice | Commercial|All Plans | $129.87 | ↓ -65% |
| MultiPlan | Commercial|All Plans | $155.84 | ↓ -58% |
Visitor-reported prices
Comments
Cyclophosphamide 25 mg capsule at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kadlec Regional Medical Center | Richland | $9.12 | $1.04 – $2.74 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $4.39 | $1.05 – $2.74 |
| Providence St Peter Hospital | Olympia | $9.87 | $1.91 – $2.74 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $10.55 – $10.55 |
| Central Medical Center | Seattle | not published | $1.98 – $1.98 |
| Providence Centralia Hospital | Centralia | not published | $2.32 – $8.32 |
| Providence St Mary Medical Center | Walla Walla | not published | $1.84 – $6.82 |
| MultiCare Yakima Memorial Hospital | Yakima | not published | $1.93 – $1.93 |