Hexa gene at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$66.43
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.
$187.99
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.
$31.96 with CHPW vs $169.20 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 | $31.96 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $32.60 | ↓ -51% |
| United | Medicaid|All Plans | $33.88 | ↓ -49% |
| Molina | Medicaid|All Plans | $34.05 | ↓ -49% |
| WellPoint | Medicaid|All Plans | $38.92 | ↓ -41% |
| BCBS - Regence | Medicare|All Plans | $51.45 | ↓ -23% |
| SoundPath | Medicare|All Plans | $51.45 | ↓ -23% |
| Aetna | Medicare|All Plans | $51.45 | ↓ -23% |
| United | Medicare|All Plans | $51.45 | ↓ -23% |
| Amerigroup | Medicare|All Plans | $51.45 | ↓ -23% |
| Kaiser | Medicare|All Plans | $51.45 | ↓ -23% |
| Optum | Medicare|All Plans | $51.96 | ↓ -22% |
| BCBS - Premera | Medicare|All Plans | $52.99 | ↓ -20% |
| CHPW | Medicare|All Plans | $54.02 | ↓ -19% |
| BCBS - Regence | Commercial|All Plans | $54.02 | ↓ -19% |
| Humana | Medicare|All Plans | $55.05 | ↓ -17% |
| Molina | Medicare|All Plans | $55.57 | ↓ -16% |
| Seattle Medical Group | Medicare|All Plans | $59.17 | ↓ -11% |
| Aetna | Commercial|AWH | $75.20 | ↑ +13% |
| Cigna | Commercial|All Plans | $75.57 | ↑ +14% |
| Uniform Medical Plan | Commercial|All Plans | $77.18 | ↑ +16% |
| BCBS - Premera | Commercial|All Plans | $77.18 | ↑ +16% |
| Aetna | Commercial|All Other Plans | $90.24 | ↑ +36% |
| United | Commercial|Navigate | $92.12 | ↑ +39% |
| United | Commercial|Cascade Care | $92.12 | ↑ +39% |
| Coordinated Care | Commercial|Ambetter Exchange | $95.18 | ↑ +43% |
| Sound Family Medicine | Commercial|All Plans | $97.75 | ↑ +47% |
| United | Commercial|All Other Plans | $97.76 | ↑ +47% |
| Molina | Commercial|Marketplace Exchange | $98.78 | ↑ +49% |
| Aetna | Commercial|Rental | $135.36 | ↑ +104% |
| Kaiser | Commercial|HMO | $139.99 | ↑ +111% |
| First Choice | Commercial|All Plans | $141.00 | ↑ +112% |
| Kaiser | Commercial|PPO | $154.00 | ↑ +132% |
| MultiPlan | Commercial|All Plans | $169.20 | ↑ +155% |
Visitor-reported prices
Comments
Hexa gene at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $142.56 | $46.31 – $156.31 |
| Swedish Medical Center Cherry Hill | Seattle | $142.56 | $46.31 – $154.35 |
| Swedish Issaquah | Issaquah | $142.56 | $46.31 – $114.22 |
| Central Medical Center | Seattle | $160.00 | $32.00 – $32.00 |
| Providence St Mary Medical Center | Walla Walla | $282.80 | $51.45 – $95.18 |
| St. Michael Medical Center | Silverdale | $82.97 | $51.45 – $169.20 |
| St. Anne Hospital | Burien | $57.41 | $51.45 – $169.20 |
| St. Anthony Hospital | Gig Harbor | $57.18 | $51.45 – $141.00 |