Ductogram sgl duct at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$522.96
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.
$1,479.92
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.
$146.69 with Aetna vs $1,331.93 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 | $146.69 | ↓ -72% |
| Aetna | Commercial|All Other Plans | $172.58 | ↓ -67% |
| United | Commercial|Navigate | $204.25 | ↓ -61% |
| United | Commercial|Cascade Care | $207.00 | ↓ -60% |
| United | Commercial|All Other Plans | $215.00 | ↓ -59% |
| CHPW | Medicaid|All Plans | $251.59 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $256.62 | ↓ -51% |
| SoundPath | Medicare|All Plans | $266.39 | ↓ -49% |
| Kaiser | Medicare|All Plans | $266.39 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $266.39 | ↓ -49% |
| United | Medicaid|All Plans | $266.69 | ↓ -49% |
| Molina | Medicaid|All Plans | $268.02 | ↓ -49% |
| Optum | Medicare|All Plans | $269.05 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $274.38 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $274.38 | ↓ -48% |
| CHPW | Medicare|All Plans | $279.71 | ↓ -47% |
| Humana | Medicare|All Plans | $285.04 | ↓ -45% |
| United | Medicare|All Plans | $287.70 | ↓ -45% |
| Molina | Medicare|All Plans | $287.70 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $306.35 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $306.35 | ↓ -41% |
| Aetna | Medicare|All Plans | $325.59 | ↓ -38% |
| Cigna | Commercial|All Plans | $475.81 | ↓ -9% |
| Coordinated Care | Commercial|Ambetter Exchange | $492.82 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $506.14 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $511.47 | ↓ -2% |
| Uniform Medical Plan | Commercial|All Plans | $605.60 | ↑ +16% |
| Kaiser | Commercial|HMO | $635.38 | ↑ +21% |
| BCBS - Regence | Commercial|All Plans | $694.41 | ↑ +33% |
| Kaiser | Commercial|PPO | $698.97 | ↑ +34% |
| BCBS - Premera | Commercial|All Plans | $1,037.01 | ↑ +98% |
| Aetna | Commercial|Rental | $1,065.55 | ↑ +104% |
| First Choice | Commercial|All Plans | $1,109.94 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $1,331.93 | ↑ +155% |
Visitor-reported prices
Comments
Ductogram sgl duct at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $1,122.24 | $276.30 – $1,095.29 |
| Swedish Medical Center Cherry Hill | Seattle | $1,122.24 | $276.30 – $1,060.33 |
| Swedish Issaquah | Issaquah | $1,122.24 | $152.38 – $1,095.29 |
| Central Medical Center | Seattle | $880.00 | $242.00 – $242.00 |
| Providence St Mary Medical Center | Walla Walla | $1,237.60 | $217.13 – $491.89 |
| Kadlec Regional Medical Center | Richland | $929.60 | $91.22 – $911.19 |
| Providence Holy Family Hospital | Spokane | $730.10 | $190.43 – $839.23 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $484.64 | $162.22 – $978.77 |