Drng of hydrocele 55000 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$317.37
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.
$898.11
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.
$152.68 with CHPW vs $2,977.58 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 | $152.68 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $155.74 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $161.66 | ↓ -49% |
| SoundPath | Medicare|All Plans | $161.66 | ↓ -49% |
| Kaiser | Medicare|All Plans | $161.66 | ↓ -49% |
| United | Medicaid|All Plans | $161.84 | ↓ -49% |
| Molina | Medicaid|All Plans | $162.65 | ↓ -49% |
| Optum | Medicare|All Plans | $163.28 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $166.51 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $166.51 | ↓ -48% |
| CHPW | Medicare|All Plans | $169.75 | ↓ -47% |
| Humana | Medicare|All Plans | $172.98 | ↓ -45% |
| United | Medicare|All Plans | $174.60 | ↓ -45% |
| Molina | Medicare|All Plans | $174.60 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $185.91 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $185.91 | ↓ -41% |
| Aetna | Medicare|All Plans | $197.59 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $299.08 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $307.16 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $310.39 | ↓ -2% |
| Aetna | Commercial|AWH | $359.25 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $431.10 | ↑ +36% |
| Cigna | Commercial|All Plans | $619.70 | ↑ +95% |
| Aetna | Commercial|Rental | $646.64 | ↑ +104% |
| First Choice | Commercial|All Plans | $673.59 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $808.30 | ↑ +155% |
| United | Commercial|Navigate | $1,236.90 | ↑ +290% |
| United | Commercial|All Other Plans | $1,302.00 | ↑ +310% |
| United | Commercial|Cascade Care | $1,416.00 | ↑ +346% |
| Uniform Medical Plan | Commercial|All Plans | $1,738.85 | ↑ +448% |
| Kaiser | Commercial|HMO | $1,765.78 | ↑ +456% |
| Kaiser | Commercial|PPO | $1,942.50 | ↑ +512% |
| BCBS - Regence | Commercial|All Plans | $1,993.85 | ↑ +528% |
| BCBS - Premera | Commercial|All Plans | $2,977.58 | ↑ +838% |
Visitor-reported prices
Comments
Drng of hydrocele 55000 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,071.00 | $789.10 – $2,008.27 |
| Kadlec Regional Medical Center | Richland | $502.60 | $141.70 – $2,263.14 |
| St. Michael Medical Center | Silverdale | $396.38 | $565.81 – $3,058.60 |
| St. Anne Hospital | Burien | $274.25 | $386.19 – $808.30 |
| St. Anthony Hospital | Gig Harbor | $273.16 | $646.64 – $1,765.78 |
| St. Joseph Medical Center | Tacoma | $297.46 | $646.64 – $1,765.78 |
| Virginia Mason Medical Center | Seattle | $1,069.98 | $3.53 – $391.30 |
| St. Francis Hospital | Federal Way | $281.85 | $646.64 – $1,765.78 |