Inj, micafungin (par pharm) at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$65.13
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.
$184.30
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.
$14.63 with CHPW vs $77.45 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 | $14.63 | ↓ -78% |
| Coordinated Care | Medicaid|All Plans | $14.93 | ↓ -77% |
| Amerigroup | Medicare|All Plans | $15.49 | ↓ -76% |
| SoundPath | Medicare|All Plans | $15.49 | ↓ -76% |
| Kaiser | Medicare|All Plans | $15.49 | ↓ -76% |
| United | Medicaid|All Plans | $15.51 | ↓ -76% |
| Molina | Medicaid|All Plans | $15.59 | ↓ -76% |
| Optum | Medicare|All Plans | $15.65 | ↓ -76% |
| BCBS - Premera | Medicare|All Plans | $15.96 | ↓ -75% |
| BCBS - Regence | Medicare|All Plans | $15.96 | ↓ -75% |
| CHPW | Medicare|All Plans | $16.27 | ↓ -75% |
| Humana | Medicare|All Plans | $16.58 | ↓ -75% |
| Molina | Medicare|All Plans | $16.73 | ↓ -74% |
| United | Medicare|All Plans | $16.73 | ↓ -74% |
| Seattle Medical Group | Medicare|All Plans | $17.82 | ↓ -73% |
| WellPoint | Medicaid|All Plans | $17.82 | ↓ -73% |
| Aetna | Medicare|All Plans | $18.94 | ↓ -71% |
| Coordinated Care | Commercial|Ambetter Exchange | $28.66 | ↓ -56% |
| Sound Family Medicine | Commercial|All Plans | $29.43 | ↓ -55% |
| Molina | Commercial|Marketplace Exchange | $29.74 | ↓ -54% |
| United | Commercial|Cascade Care | $30.98 | ↓ -52% |
| United | Commercial|Navigate | $31.84 | ↓ -51% |
| United | Commercial|All Other Plans | $33.56 | ↓ -48% |
| Aetna | Commercial|AWH | $34.42 | ↓ -47% |
| Aetna | Commercial|All Other Plans | $41.31 | ↓ -37% |
| Cigna | Commercial|All Plans | $43.03 | ↓ -34% |
| Aetna | Commercial|Rental | $61.96 | ↓ -5% |
| First Choice | Commercial|All Plans | $64.54 | ↓ -1% |
| MultiPlan | Commercial|All Plans | $77.45 | ↑ +19% |
Visitor-reported prices
Comments
Inj, micafungin (par pharm) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $469.52 | not published |
| Kadlec Regional Medical Center | Richland | $173.04 | $0.34 – $0.93 |
| St. Michael Medical Center | Silverdale | $81.35 | $54.22 – $77.45 |
| St. Anne Hospital | Burien | $56.28 | $37.01 – $77.45 |
| St. Anthony Hospital | Gig Harbor | $56.06 | $43.03 – $64.54 |
| St. Joseph Medical Center | Tacoma | $61.04 | $43.03 – $64.54 |
| St. Francis Hospital | Federal Way | $57.84 | $43.03 – $64.54 |
| St. Clare Hospital | Lakewood | $53.13 | $43.03 – $64.54 |