Episiotomy/vag rpr oth/thn attending phys 59300 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,630.40
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.
$4,613.91
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.
$0.70 with Cigna vs $13,231.00 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.70 | ↓ -100% |
| CHPW | Medicaid|All Plans | $784.37 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $800.06 | ↓ -51% |
| SoundPath | Medicare|All Plans | $830.51 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $830.51 | ↓ -49% |
| Kaiser | Medicare|All Plans | $830.51 | ↓ -49% |
| United | Medicaid|All Plans | $831.43 | ↓ -49% |
| Molina | Medicaid|All Plans | $835.58 | ↓ -49% |
| Optum | Medicare|All Plans | $838.81 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $855.42 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $855.42 | ↓ -48% |
| CHPW | Medicare|All Plans | $872.03 | ↓ -47% |
| Humana | Medicare|All Plans | $888.64 | ↓ -45% |
| United | Medicare|All Plans | $896.95 | ↓ -45% |
| Molina | Medicare|All Plans | $896.95 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $955.08 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $955.08 | ↓ -41% |
| Aetna | Medicare|All Plans | $1,015.07 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,536.44 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $1,577.96 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $1,594.57 | ↓ -2% |
| Aetna | Commercial|AWH | $1,845.57 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $2,214.68 | ↑ +36% |
| Aetna | Commercial|Rental | $3,322.02 | ↑ +104% |
| First Choice | Commercial|All Plans | $3,460.44 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $4,152.52 | ↑ +155% |
| Kaiser | Commercial|HMO | $7,693.18 | ↑ +372% |
| United | Commercial|Navigate | $7,711.15 | ↑ +373% |
| Uniform Medical Plan | Commercial|All Plans | $7,726.63 | ↑ +374% |
| United | Commercial|All Other Plans | $8,117.00 | ↑ +398% |
| Kaiser | Commercial|PPO | $8,463.09 | ↑ +419% |
| United | Commercial|Cascade Care | $8,830.00 | ↑ +442% |
| BCBS - Regence | Commercial|All Plans | $8,859.76 | ↑ +443% |
| BCBS - Premera | Commercial|All Plans | $13,231.00 | ↑ +712% |
Visitor-reported prices
Comments
Episiotomy/vag rpr oth/thn attending phys 59300 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $4,230.80 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $1,168.32 | $3,748.56 – $12,165.75 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $6,959.40 | $3,607.27 – $9,180.51 |
| Swedish Medical Center Cherry Hill | Seattle | $1,168.32 | $3,748.56 – $11,716.09 |
| Swedish Issaquah | Issaquah | $1,168.32 | $3,759.08 – $12,165.75 |
| Providence Centralia Hospital | Centralia | $6,531.72 | $3,748.56 – $14,613.89 |
| Providence Mount Carmel Hospital | Colville | $1,949.50 | not published |
| Providence St Mary Medical Center | Walla Walla | $5,175.10 | $2,770.26 – $6,673.45 |