Epoetin alfa, 100 units esrd at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$2,500.50
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.
$7,076.25
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.
$0.96 with Aetna vs $3,184.34 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 | $0.96 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $1.13 | ↓ -100% |
| CHPW | Medicaid|All Plans | $601.49 | ↓ -76% |
| Coordinated Care | Medicaid|All Plans | $613.52 | ↓ -75% |
| SoundPath | Medicare|All Plans | $636.87 | ↓ -75% |
| Amerigroup | Medicare|All Plans | $636.87 | ↓ -75% |
| Kaiser | Medicare|All Plans | $636.87 | ↓ -75% |
| United | Medicaid|All Plans | $637.58 | ↓ -75% |
| Molina | Medicaid|All Plans | $640.76 | ↓ -74% |
| Optum | Medicare|All Plans | $643.24 | ↓ -74% |
| BCBS - Regence | Medicare|All Plans | $655.98 | ↓ -74% |
| BCBS - Premera | Medicare|All Plans | $655.98 | ↓ -74% |
| CHPW | Medicare|All Plans | $668.72 | ↓ -73% |
| Humana | Medicare|All Plans | $681.45 | ↓ -73% |
| United | Medicare|All Plans | $687.82 | ↓ -72% |
| Molina | Medicare|All Plans | $687.82 | ↓ -72% |
| Seattle Medical Group | Medicare|All Plans | $732.40 | ↓ -71% |
| WellPoint | Medicaid|All Plans | $732.40 | ↓ -71% |
| Aetna | Medicare|All Plans | $778.40 | ↓ -69% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,178.21 | ↓ -53% |
| Sound Family Medicine | Commercial|All Plans | $1,210.05 | ↓ -52% |
| Molina | Commercial|Marketplace Exchange | $1,222.79 | ↓ -51% |
| Aetna | Commercial|Rental | $2,547.47 | ↑ +2% |
| First Choice | Commercial|All Plans | $2,653.62 | ↑ +6% |
| MultiPlan | Commercial|All Plans | $3,184.34 | ↑ +27% |
Visitor-reported prices
Comments
Epoetin alfa, 100 units esrd at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MultiCare Auburn Medical Center | Auburn | $4.48 | $3.66 – $62.72 |
| MultiCare Good Samaritan Hospital | Puyallup | $8.04 | $3.66 – $64.17 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $4.17 – $4.17 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $0.76 – $1.31 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $0.76 – $1.42 |
| Swedish Medical Center Cherry Hill | Seattle | not published | $0.76 – $1.31 |
| Swedish Issaquah | Issaquah | not published | $0.76 – $1.54 |
| Central Medical Center | Seattle | not published | $1.81 – $1.81 |