Hpa-1 genotyping at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$197.04
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.
$557.60
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.
$94.80 with CHPW vs $501.84 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 | $94.80 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $96.69 | ↓ -51% |
| United | Medicaid|All Plans | $100.48 | ↓ -49% |
| Molina | Medicaid|All Plans | $100.99 | ↓ -49% |
| WellPoint | Medicaid|All Plans | $115.43 | ↓ -41% |
| Kaiser | Medicare|All Plans | $122.22 | ↓ -38% |
| SoundPath | Medicare|All Plans | $122.22 | ↓ -38% |
| Aetna | Medicare|All Plans | $122.22 | ↓ -38% |
| BCBS - Regence | Medicare|All Plans | $122.22 | ↓ -38% |
| United | Medicare|All Plans | $122.22 | ↓ -38% |
| Amerigroup | Medicare|All Plans | $122.22 | ↓ -38% |
| Optum | Medicare|All Plans | $123.44 | ↓ -37% |
| BCBS - Premera | Medicare|All Plans | $125.89 | ↓ -36% |
| BCBS - Regence | Commercial|All Plans | $128.33 | ↓ -35% |
| CHPW | Medicare|All Plans | $128.33 | ↓ -35% |
| Humana | Medicare|All Plans | $130.78 | ↓ -34% |
| Molina | Medicare|All Plans | $132.00 | ↓ -33% |
| Seattle Medical Group | Medicare|All Plans | $140.55 | ↓ -29% |
| Uniform Medical Plan | Commercial|All Plans | $183.33 | ↓ -7% |
| BCBS - Premera | Commercial|All Plans | $183.33 | ↓ -7% |
| Cigna | Commercial|All Plans | $221.66 | ↑ +12% |
| Aetna | Commercial|AWH | $223.04 | ↑ +13% |
| Coordinated Care | Commercial|Ambetter Exchange | $226.11 | ↑ +15% |
| Sound Family Medicine | Commercial|All Plans | $232.22 | ↑ +18% |
| Molina | Commercial|Marketplace Exchange | $234.66 | ↑ +19% |
| Aetna | Commercial|All Other Plans | $267.65 | ↑ +36% |
| United | Commercial|Cascade Care | $273.23 | ↑ +39% |
| United | Commercial|Navigate | $273.23 | ↑ +39% |
| United | Commercial|All Other Plans | $289.96 | ↑ +47% |
| Kaiser | Commercial|HMO | $332.55 | ↑ +69% |
| Kaiser | Commercial|PPO | $365.83 | ↑ +86% |
| Aetna | Commercial|Rental | $401.48 | ↑ +104% |
| First Choice | Commercial|All Plans | $418.20 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $501.84 | ↑ +155% |
Visitor-reported prices
Comments
Hpa-1 genotyping at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $483.36 | $110.00 – $371.30 |
| Swedish Medical Center Cherry Hill | Seattle | $483.36 | $110.00 – $366.66 |
| Swedish Issaquah | Issaquah | $483.36 | $110.00 – $271.33 |
| Swedish Edmonds Hospital | Edmonds | $483.36 | $122.22 – $488.88 |
| Kadlec Regional Medical Center | Richland | $210.00 | $122.22 – $226.11 |
| St. Michael Medical Center | Silverdale | $246.10 | $122.22 – $501.84 |
| St. Anne Hospital | Burien | $170.27 | $122.22 – $501.84 |
| St. Anthony Hospital | Gig Harbor | $169.60 | $122.22 – $418.20 |