Injection for spleen x-ray at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$424.00
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.
$1,199.89
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.
$203.99 with CHPW vs $2,077.00 with United — 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 | $203.99 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $208.07 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $215.99 | ↓ -49% |
| SoundPath | Medicare|All Plans | $215.99 | ↓ -49% |
| Kaiser | Medicare|All Plans | $215.99 | ↓ -49% |
| United | Medicaid|All Plans | $216.23 | ↓ -49% |
| Molina | Medicaid|All Plans | $217.31 | ↓ -49% |
| Optum | Medicare|All Plans | $218.15 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $222.46 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $222.46 | ↓ -48% |
| CHPW | Medicare|All Plans | $226.78 | ↓ -47% |
| Humana | Medicare|All Plans | $231.10 | ↓ -45% |
| Molina | Medicare|All Plans | $233.26 | ↓ -45% |
| United | Medicare|All Plans | $233.26 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $248.38 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $248.38 | ↓ -41% |
| Aetna | Medicare|All Plans | $263.98 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $399.57 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $410.37 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $414.69 | ↓ -2% |
| Aetna | Commercial|AWH | $479.96 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $575.95 | ↑ +36% |
| Aetna | Commercial|Rental | $863.93 | ↑ +104% |
| First Choice | Commercial|All Plans | $899.92 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $1,079.91 | ↑ +155% |
| United | Commercial|Navigate | $1,814.50 | ↑ +328% |
| United | Commercial|All Other Plans | $1,910.00 | ↑ +350% |
| United | Commercial|Cascade Care | $2,077.00 | ↑ +390% |
Visitor-reported prices
Comments
Injection for spleen x-ray at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $4,671.10 | $13,212.00 – $13,212.00 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $810.68 | $1,985.00 – $1,985.00 |
| St. Michael Medical Center | Silverdale | $529.57 | $755.94 – $1,079.91 |
| St. Anne Hospital | Burien | $366.40 | $515.96 – $1,079.91 |
| St. Anthony Hospital | Gig Harbor | $364.95 | $863.93 – $899.92 |
| St. Joseph Medical Center | Tacoma | $397.41 | $863.93 – $899.92 |
| St. Francis Hospital | Federal Way | $376.56 | $863.93 – $899.92 |
| St. Clare Hospital | Lakewood | $345.86 | $863.93 – $899.92 |