Injection, inclisiran, 1 mg at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$7,254.22
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.
$20,529.00
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.
$3,489.93 with CHPW vs $18,476.10 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 | $3,489.93 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $3,559.73 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $3,695.22 | ↓ -49% |
| SoundPath | Medicare|All Plans | $3,695.22 | ↓ -49% |
| Kaiser | Medicare|All Plans | $3,695.22 | ↓ -49% |
| United | Medicaid|All Plans | $3,699.33 | ↓ -49% |
| Molina | Medicaid|All Plans | $3,717.81 | ↓ -49% |
| Optum | Medicare|All Plans | $3,732.18 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $3,806.08 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $3,806.08 | ↓ -48% |
| CHPW | Medicare|All Plans | $3,879.99 | ↓ -47% |
| Humana | Medicare|All Plans | $3,953.89 | ↓ -45% |
| Molina | Medicare|All Plans | $3,990.84 | ↓ -45% |
| United | Medicare|All Plans | $3,990.84 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $4,249.51 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $4,249.51 | ↓ -41% |
| Aetna | Medicare|All Plans | $4,516.38 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $6,836.16 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $7,020.92 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $7,094.83 | ↓ -2% |
| United | Commercial|Cascade Care | $7,390.44 | ↑ +2% |
| United | Commercial|Navigate | $7,595.73 | ↑ +5% |
| United | Commercial|All Other Plans | $8,006.31 | ↑ +10% |
| Aetna | Commercial|AWH | $8,211.60 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $9,853.92 | ↑ +36% |
| Cigna | Commercial|All Plans | $10,264.50 | ↑ +41% |
| Aetna | Commercial|Rental | $14,780.88 | ↑ +104% |
| First Choice | Commercial|All Plans | $15,396.75 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $18,476.10 | ↑ +155% |
Visitor-reported prices
Comments
Injection, inclisiran, 1 mg at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $5,687.50 | $9.46 – $23.33 |
| Providence Mount Carmel Hospital | Colville | $9,634.57 | not published |
| Providence St Mary Medical Center | Walla Walla | $10,366.61 | $12.21 – $75.45 |
| Providence Holy Family Hospital | Spokane | $5,687.50 | $12.13 – $27.00 |
| St. Michael Medical Center | Silverdale | $9,060.44 | $12,933.27 – $18,476.10 |
| St. Anne Hospital | Burien | $6,268.65 | $8,827.47 – $18,476.10 |
| St. Anthony Hospital | Gig Harbor | $6,243.87 | $10,264.50 – $15,396.75 |
| St. Joseph Medical Center | Tacoma | $6,799.16 | $10,264.50 – $15,396.75 |