Cyclosporine modified 25 mg capsule at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$41.79
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.
$118.25
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.
$1.08 with Aetna vs $16.11 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 | $1.08 | ↓ -97% |
| Aetna | Commercial|All Other Plans | $1.27 | ↓ -97% |
| CHPW | Medicaid|All Plans | $3.05 | ↓ -93% |
| Coordinated Care | Medicaid|All Plans | $3.11 | ↓ -93% |
| United | Medicaid|All Plans | $3.23 | ↓ -92% |
| SoundPath | Medicare|All Plans | $3.23 | ↓ -92% |
| Kaiser | Medicare|All Plans | $3.23 | ↓ -92% |
| Amerigroup | Medicare|All Plans | $3.23 | ↓ -92% |
| Molina | Medicaid|All Plans | $3.25 | ↓ -92% |
| Optum | Medicare|All Plans | $3.26 | ↓ -92% |
| BCBS - Regence | Medicare|All Plans | $3.32 | ↓ -92% |
| BCBS - Premera | Medicare|All Plans | $3.32 | ↓ -92% |
| CHPW | Medicare|All Plans | $3.39 | ↓ -92% |
| Humana | Medicare|All Plans | $3.45 | ↓ -92% |
| Molina | Medicare|All Plans | $3.48 | ↓ -92% |
| United | Medicare|All Plans | $3.48 | ↓ -92% |
| WellPoint | Medicaid|All Plans | $3.71 | ↓ -91% |
| Seattle Medical Group | Medicare|All Plans | $3.71 | ↓ -91% |
| Aetna | Medicare|All Plans | $3.94 | ↓ -91% |
| Coordinated Care | Commercial|Ambetter Exchange | $5.97 | ↓ -86% |
| Sound Family Medicine | Commercial|All Plans | $6.13 | ↓ -85% |
| Molina | Commercial|Marketplace Exchange | $6.19 | ↓ -85% |
| United | Commercial|Cascade Care | $6.45 | ↓ -85% |
| United | Commercial|Navigate | $6.63 | ↓ -84% |
| United | Commercial|All Other Plans | $6.99 | ↓ -83% |
| Cigna | Commercial|All Plans | $8.95 | ↓ -79% |
| Aetna | Commercial|Rental | $12.89 | ↓ -69% |
| First Choice | Commercial|All Plans | $13.43 | ↓ -68% |
| MultiPlan | Commercial|All Plans | $16.11 | ↓ -61% |
Visitor-reported prices
Comments
Cyclosporine modified 25 mg capsule at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $12.57 | $2.52 – $2.52 |
| Swedish Medical Center - First Hill Campus | Seattle | $5.59 | $0.83 – $1.37 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $11.16 | $0.83 – $1.82 |
| Swedish Medical Center Cherry Hill | Seattle | $7.07 | $0.83 – $1.37 |
| Swedish Issaquah | Issaquah | $7.07 | $0.83 – $1.54 |
| Central Medical Center | Seattle | $2.42 | $0.77 – $0.77 |
| Providence Centralia Hospital | Centralia | $4.32 | $2.29 – $4.76 |
| Swedish Edmonds Hospital | Edmonds | $10.99 | $0.83 – $1.54 |