Duragen 1x1 5ea/bx at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$12,451.49
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.
$35,236.95
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.
$5,990.29 with CHPW vs $31,713.26 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 | $5,990.29 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $6,110.09 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $6,342.66 | ↓ -49% |
| SoundPath | Medicare|All Plans | $6,342.66 | ↓ -49% |
| Kaiser | Medicare|All Plans | $6,342.66 | ↓ -49% |
| United | Medicaid|All Plans | $6,349.70 | ↓ -49% |
| Molina | Medicaid|All Plans | $6,381.42 | ↓ -49% |
| Optum | Medicare|All Plans | $6,406.08 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $6,532.94 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $6,532.94 | ↓ -48% |
| CHPW | Medicare|All Plans | $6,659.79 | ↓ -47% |
| Humana | Medicare|All Plans | $6,786.64 | ↓ -45% |
| Molina | Medicare|All Plans | $6,850.07 | ↓ -45% |
| United | Medicare|All Plans | $6,850.07 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $7,294.05 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $7,294.05 | ↓ -41% |
| Aetna | Medicare|All Plans | $7,752.13 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $11,733.91 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $12,051.04 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $12,177.89 | ↓ -2% |
| Aetna | Commercial|AWH | $14,094.78 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $16,913.74 | ↑ +36% |
| United | Commercial|Cascade Care | $17,266.11 | ↑ +39% |
| United | Commercial|Navigate | $17,266.11 | ↑ +39% |
| Cigna | Commercial|All Plans | $17,618.48 | ↑ +41% |
| United | Commercial|All Other Plans | $18,323.22 | ↑ +47% |
| Aetna | Commercial|Rental | $25,370.61 | ↑ +104% |
| First Choice | Commercial|All Plans | $26,427.72 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $31,713.26 | ↑ +155% |
Visitor-reported prices
Comments
Duragen 1x1 5ea/bx at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $13,840.70 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $14,523.75 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $14,442.56 | not published |
| Swedish Medical Center Cherry Hill | Seattle | $14,523.75 | not published |
| Swedish Issaquah | Issaquah | $14,523.75 | not published |
| Central Medical Center | Seattle | $2,733.76 | not published |
| Providence Centralia Hospital | Centralia | $15,578.28 | not published |
| Providence Mount Carmel Hospital | Colville | $13,840.70 | not published |