Immunoassay tumor antigen quantitative ca 125 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$118.74
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.
$336.02
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.
$20.81 with Amerigroup vs $302.42 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 |
|---|---|---|---|
| Amerigroup | Medicare|All Plans | $20.81 | ↓ -82% |
| Aetna | Medicare|All Plans | $20.81 | ↓ -82% |
| BCBS - Regence | Medicare|All Plans | $20.81 | ↓ -82% |
| Kaiser | Medicare|All Plans | $20.81 | ↓ -82% |
| United | Medicare|All Plans | $20.81 | ↓ -82% |
| SoundPath | Medicare|All Plans | $20.81 | ↓ -82% |
| Optum | Medicare|All Plans | $21.02 | ↓ -82% |
| BCBS - Premera | Medicare|All Plans | $21.43 | ↓ -82% |
| CHPW | Medicare|All Plans | $21.85 | ↓ -82% |
| BCBS - Regence | Commercial|All Plans | $21.85 | ↓ -82% |
| Humana | Medicare|All Plans | $22.27 | ↓ -81% |
| Molina | Medicare|All Plans | $22.47 | ↓ -81% |
| Seattle Medical Group | Medicare|All Plans | $23.93 | ↓ -80% |
| Uniform Medical Plan | Commercial|All Plans | $31.22 | ↓ -74% |
| BCBS - Premera | Commercial|All Plans | $31.22 | ↓ -74% |
| Cigna | Commercial|All Plans | $37.76 | ↓ -68% |
| Coordinated Care | Commercial|Ambetter Exchange | $38.50 | ↓ -68% |
| Sound Family Medicine | Commercial|All Plans | $39.54 | ↓ -67% |
| Molina | Commercial|Marketplace Exchange | $39.96 | ↓ -66% |
| CHPW | Medicaid|All Plans | $57.13 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $58.27 | ↓ -51% |
| United | Medicaid|All Plans | $60.56 | ↓ -49% |
| Molina | Medicaid|All Plans | $60.86 | ↓ -49% |
| WellPoint | Medicaid|All Plans | $69.56 | ↓ -41% |
| Aetna | Commercial|AWH | $96.40 | ↓ -19% |
| Aetna | Commercial|All Other Plans | $113.41 | ↓ -4% |
| First Choice | Commercial|All Plans | $150.35 | ↑ +27% |
| Aetna | Commercial|WEA | $154.20 | ↑ +30% |
| United | Commercial|Cascade Care | $164.65 | ↑ +39% |
| United | Commercial|Navigate | $164.65 | ↑ +39% |
| United | Commercial|All Other Plans | $174.74 | ↑ +47% |
| Aetna | Commercial|Rental | $241.94 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $302.42 | ↑ +155% |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 125 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $193.90 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $108.96 | $18.73 – $97.81 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $189.00 | $20.81 – $74.92 |
| Swedish Medical Center Cherry Hill | Seattle | $108.96 | $18.73 – $94.69 |
| Swedish Issaquah | Issaquah | $108.96 | $18.73 – $97.81 |
| Central Medical Center | Seattle | $168.80 | $16.00 – $16.00 |
| Providence Centralia Hospital | Centralia | $158.60 | $20.81 – $129.65 |
| Providence Mount Carmel Hospital | Colville | $247.10 | not published |