HIV prep, inj, cabotegravir at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$8,657.43
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.
?
What you pay up front if you don't use insurance.
$24,500.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4,165.00 with CHPW vs $22,050.00 with MultiPlan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $4,165.00 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $4,248.30 | ↓ -51% |
| SoundPath | Medicare|All Plans | $4,410.00 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $4,410.00 | ↓ -49% |
| Kaiser | Medicare|All Plans | $4,410.00 | ↓ -49% |
| United | Medicaid|All Plans | $4,414.90 | ↓ -49% |
| Molina | Medicaid|All Plans | $4,436.95 | ↓ -49% |
| Optum | Medicare|All Plans | $4,454.10 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $4,542.30 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $4,542.30 | ↓ -48% |
| CHPW | Medicare|All Plans | $4,630.50 | ↓ -47% |
| Humana | Medicare|All Plans | $4,718.70 | ↓ -45% |
| United | Medicare|All Plans | $4,762.80 | ↓ -45% |
| Molina | Medicare|All Plans | $4,762.80 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $5,071.50 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $5,071.50 | ↓ -41% |
| Aetna | Medicare|All Plans | $5,390.00 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $8,158.50 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $8,379.00 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $8,467.20 | ↓ -2% |
| United | Commercial|Cascade Care | $8,820.00 | ↑ +2% |
| United | Commercial|Navigate | $9,065.00 | ↑ +5% |
| United | Commercial|All Other Plans | $9,555.00 | ↑ +10% |
| Aetna | Commercial|AWH | $9,800.00 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $11,760.00 | ↑ +36% |
| Cigna | Commercial|All Plans | $12,250.00 | ↑ +41% |
| Aetna | Commercial|Rental | $17,640.00 | ↑ +104% |
| First Choice | Commercial|All Plans | $18,375.00 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $22,050.00 | ↑ +155% |
Visitor-reported prices
Comments
HIV prep, inj, cabotegravir at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $11,130.95 | $6.89 – $13.22 |
| Swedish Medical Center Cherry Hill | Seattle | $11,130.95 | $6.89 – $13.22 |
| Swedish Issaquah | Issaquah | $11,130.95 | $6.89 – $13.22 |
| Swedish Edmonds Hospital | Edmonds | $11,130.95 | $6.89 – $13.22 |
| Providence St Mary Medical Center | Walla Walla | $12,307.64 | $7.14 – $21.02 |
| St. Michael Medical Center | Silverdale | $10,813.03 | $15,435.00 – $22,050.00 |
| St. Anne Hospital | Burien | $7,481.22 | $10,535.00 – $22,050.00 |
| St. Anthony Hospital | Gig Harbor | $7,451.65 | $12,250.00 – $18,375.00 |