Drain neck/chest lesion 21501 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,368.04
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.
$3,871.47
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.
$658.15 with CHPW vs $12,025.39 with BCBS - Premera — 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 | $658.15 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $671.32 | ↓ -51% |
| SoundPath | Medicare|All Plans | $696.87 | ↓ -49% |
| Kaiser | Medicare|All Plans | $696.87 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $696.87 | ↓ -49% |
| United | Medicaid|All Plans | $697.64 | ↓ -49% |
| Molina | Medicaid|All Plans | $701.13 | ↓ -49% |
| Optum | Medicare|All Plans | $703.84 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $717.78 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $717.78 | ↓ -48% |
| CHPW | Medicare|All Plans | $731.71 | ↓ -47% |
| Humana | Medicare|All Plans | $745.65 | ↓ -45% |
| Molina | Medicare|All Plans | $752.62 | ↓ -45% |
| United | Medicare|All Plans | $752.62 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $801.40 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $801.40 | ↓ -41% |
| Aetna | Medicare|All Plans | $851.73 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,289.20 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $1,324.05 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $1,337.99 | ↓ -2% |
| Aetna | Commercial|AWH | $1,548.59 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $1,858.31 | ↑ +36% |
| Aetna | Commercial|Rental | $2,787.46 | ↑ +104% |
| First Choice | Commercial|All Plans | $2,903.61 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $3,484.33 | ↑ +155% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +333% |
| Uniform Medical Plan | Commercial|All Plans | $7,022.60 | ↑ +413% |
| Kaiser | Commercial|HMO | $7,028.76 | ↑ +414% |
| United | Commercial|Navigate | $7,711.15 | ↑ +464% |
| Kaiser | Commercial|PPO | $7,732.18 | ↑ +465% |
| BCBS - Regence | Commercial|All Plans | $8,052.47 | ↑ +489% |
| United | Commercial|All Other Plans | $8,117.00 | ↑ +493% |
| United | Commercial|Cascade Care | $8,830.00 | ↑ +545% |
| BCBS - Premera | Commercial|All Plans | $12,025.39 | ↑ +779% |
Visitor-reported prices
Comments
Drain neck/chest lesion 21501 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $3,865.40 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $4,420.32 | $3,363.63 – $11,292.99 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $5,494.30 | $3,236.85 – $8,237.79 |
| Swedish Medical Center Cherry Hill | Seattle | $4,420.32 | $3,363.63 – $10,875.59 |
| Swedish Issaquah | Issaquah | $4,420.32 | $3,373.07 – $11,292.99 |
| Providence Centralia Hospital | Centralia | $5,967.52 | $3,363.63 – $13,565.51 |
| Providence Mount Carmel Hospital | Colville | $4,520.60 | not published |
| Providence St Mary Medical Center | Walla Walla | $6,832.70 | $2,517.84 – $5,988.18 |