Drainage of mouth lesion at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$366.66
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.
$1,037.60
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.
$176.40 with CHPW vs $4,556.00 with Cigna — 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 | $176.40 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $179.92 | ↓ -51% |
| SoundPath | Medicare|All Plans | $186.77 | ↓ -49% |
| Kaiser | Medicare|All Plans | $186.77 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $186.77 | ↓ -49% |
| United | Medicaid|All Plans | $186.98 | ↓ -49% |
| Molina | Medicaid|All Plans | $187.91 | ↓ -49% |
| Optum | Medicare|All Plans | $188.64 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $192.38 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $192.38 | ↓ -48% |
| CHPW | Medicare|All Plans | $196.11 | ↓ -47% |
| Humana | Medicare|All Plans | $199.85 | ↓ -45% |
| Molina | Medicare|All Plans | $201.71 | ↓ -45% |
| United | Medicare|All Plans | $201.71 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $214.79 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $214.79 | ↓ -41% |
| Aetna | Medicare|All Plans | $228.28 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $345.53 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $354.86 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $358.60 | ↓ -2% |
| Aetna | Commercial|AWH | $415.04 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $498.05 | ↑ +36% |
| Aetna | Commercial|Rental | $747.08 | ↑ +104% |
| First Choice | Commercial|All Plans | $778.20 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $933.84 | ↑ +155% |
| Kaiser | Commercial|HMO | $1,242.96 | ↑ +239% |
| Uniform Medical Plan | Commercial|All Plans | $1,359.80 | ↑ +271% |
| Kaiser | Commercial|PPO | $1,367.35 | ↑ +273% |
| BCBS - Regence | Commercial|All Plans | $1,559.22 | ↑ +325% |
| United | Commercial|Navigate | $1,814.50 | ↑ +395% |
| United | Commercial|All Other Plans | $1,910.00 | ↑ +421% |
| United | Commercial|Cascade Care | $2,077.00 | ↑ +466% |
| BCBS - Premera | Commercial|All Plans | $2,328.51 | ↑ +535% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +1143% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Michael Medical Center | Silverdale | $457.95 | $653.69 – $2,152.99 |
| St. Anne Hospital | Burien | $316.84 | $446.17 – $933.84 |
| St. Anthony Hospital | Gig Harbor | $315.59 | $747.08 – $1,242.96 |
| St. Joseph Medical Center | Tacoma | $343.66 | $747.08 – $1,242.96 |
| Virginia Mason Medical Center | Seattle | $899.64 | $12.50 – $1,244.64 |
| St. Francis Hospital | Federal Way | $325.63 | $747.08 – $1,242.96 |
| St. Clare Hospital | Lakewood | $299.08 | $747.08 – $1,242.96 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $601.00 – $661.10 |