Duplex scan unilateral study 93986 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$483.59
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.
$1,368.51
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.
$232.65 with CHPW vs $1,231.66 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 |
|---|---|---|---|
| CHPW | Medicaid|All Plans | $232.65 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $237.30 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $246.34 | ↓ -49% |
| Kaiser | Medicare|All Plans | $246.34 | ↓ -49% |
| SoundPath | Medicare|All Plans | $246.34 | ↓ -49% |
| United | Medicaid|All Plans | $246.61 | ↓ -49% |
| Molina | Medicaid|All Plans | $247.84 | ↓ -49% |
| Optum | Medicare|All Plans | $248.80 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $253.73 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $253.73 | ↓ -48% |
| CHPW | Medicare|All Plans | $258.65 | ↓ -47% |
| Humana | Medicare|All Plans | $263.58 | ↓ -45% |
| Molina | Medicare|All Plans | $266.04 | ↓ -45% |
| United | Medicare|All Plans | $266.04 | ↓ -45% |
| Uniform Medical Plan | Commercial|All Plans | $271.71 | ↓ -44% |
| Seattle Medical Group | Medicare|All Plans | $283.29 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $283.29 | ↓ -41% |
| Kaiser | Commercial|HMO | $290.81 | ↓ -40% |
| Aetna | Medicare|All Plans | $301.08 | ↓ -38% |
| BCBS - Regence | Commercial|All Plans | $311.56 | ↓ -36% |
| Kaiser | Commercial|PPO | $319.91 | ↓ -34% |
| United | Commercial|Navigate | $334.40 | ↓ -31% |
| United | Commercial|Cascade Care | $338.00 | ↓ -30% |
| United | Commercial|All Other Plans | $352.00 | ↓ -27% |
| Coordinated Care | Commercial|Ambetter Exchange | $455.72 | ↓ -6% |
| BCBS - Premera | Commercial|All Plans | $465.29 | ↓ -4% |
| Sound Family Medicine | Commercial|All Plans | $468.04 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $472.96 | ↓ -2% |
| Aetna | Commercial|AWH | $547.41 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $656.89 | ↑ +36% |
| Aetna | Commercial|Rental | $985.33 | ↑ +104% |
| First Choice | Commercial|All Plans | $1,026.39 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $1,231.66 | ↑ +155% |
Visitor-reported prices
Comments
Duplex scan unilateral study 93986 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $409.92 | $121.06 – $526.78 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $317.10 | $116.50 – $403.49 |
| Swedish Medical Center Cherry Hill | Seattle | $409.92 | $121.06 – $509.96 |
| Swedish Issaquah | Issaquah | $409.92 | $121.40 – $526.78 |
| Providence Mount Carmel Hospital | Colville | $214.20 | not published |
| Providence Holy Family Hospital | Spokane | $411.60 | $116.50 – $376.53 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $453.96 | $119.06 – $470.74 |
| MultiCare Valley Hospital | Spokane Valley | $183.20 | $117.59 – $475.62 |