Inj, spesolimab-sbzo, 1 mg at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$114,977.70
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.
$325,380.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$27,657.30 with CHPW vs $146,421.00 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 | $27,657.30 | ↓ -76% |
| Coordinated Care | Medicaid|All Plans | $28,210.45 | ↓ -75% |
| Amerigroup | Medicare|All Plans | $29,284.20 | ↓ -75% |
| SoundPath | Medicare|All Plans | $29,284.20 | ↓ -75% |
| Kaiser | Medicare|All Plans | $29,284.20 | ↓ -75% |
| United | Medicaid|All Plans | $29,316.74 | ↓ -75% |
| Molina | Medicaid|All Plans | $29,463.16 | ↓ -74% |
| Optum | Medicare|All Plans | $29,577.05 | ↓ -74% |
| BCBS - Premera | Medicare|All Plans | $30,162.73 | ↓ -74% |
| BCBS - Regence | Medicare|All Plans | $30,162.73 | ↓ -74% |
| CHPW | Medicare|All Plans | $30,748.41 | ↓ -73% |
| Humana | Medicare|All Plans | $31,334.10 | ↓ -73% |
| Molina | Medicare|All Plans | $31,626.94 | ↓ -72% |
| United | Medicare|All Plans | $31,626.94 | ↓ -72% |
| Seattle Medical Group | Medicare|All Plans | $33,676.83 | ↓ -71% |
| WellPoint | Medicaid|All Plans | $33,676.83 | ↓ -71% |
| Aetna | Medicare|All Plans | $35,791.80 | ↓ -69% |
| United | Commercial|Navigate | $52,250.00 | ↓ -55% |
| Coordinated Care | Commercial|Ambetter Exchange | $54,175.77 | ↓ -53% |
| United | Commercial|All Other Plans | $55,000.00 | ↓ -52% |
| United | Commercial|Cascade Care | $55,000.00 | ↓ -52% |
| Sound Family Medicine | Commercial|All Plans | $55,639.98 | ↓ -52% |
| Molina | Commercial|Marketplace Exchange | $56,225.67 | ↓ -51% |
| Aetna | Commercial|AWH | $65,076.00 | ↓ -43% |
| Aetna | Commercial|All Other Plans | $78,091.20 | ↓ -32% |
| Cigna | Commercial|All Plans | $81,345.00 | ↓ -29% |
| Aetna | Commercial|Rental | $117,136.80 | ↑ +2% |
| First Choice | Commercial|All Plans | $122,017.50 | ↑ +6% |
| MultiPlan | Commercial|All Plans | $146,421.00 | ↑ +27% |
Visitor-reported prices
Comments
Inj, spesolimab-sbzo, 1 mg at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Michael Medical Center | Silverdale | $143,605.81 | $102,494.70 – $146,421.00 |
| St. Anne Hospital | Burien | $99,356.59 | $69,956.70 – $146,421.00 |
| St. Anthony Hospital | Gig Harbor | $98,963.90 | $81,345.00 – $122,017.50 |
| St. Joseph Medical Center | Tacoma | $107,765.05 | $81,345.00 – $122,017.50 |
| St. Francis Hospital | Federal Way | $102,111.75 | $81,345.00 – $122,017.50 |
| St. Clare Hospital | Lakewood | $93,787.81 | $81,345.00 – $122,017.50 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $61.42 – $121.60 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | not published | $46.97 – $121.60 |