Injection of sinus tract at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$641.54
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.
$1,815.50
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.
$308.64 with CHPW vs $6,454.10 with BCBS - Premera — 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 | $308.64 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $314.81 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $326.79 | ↓ -49% |
| SoundPath | Medicare|All Plans | $326.79 | ↓ -49% |
| Kaiser | Medicare|All Plans | $326.79 | ↓ -49% |
| United | Medicaid|All Plans | $327.16 | ↓ -49% |
| Molina | Medicaid|All Plans | $328.79 | ↓ -49% |
| Optum | Medicare|All Plans | $330.06 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $336.60 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $336.60 | ↓ -48% |
| CHPW | Medicare|All Plans | $343.13 | ↓ -47% |
| Humana | Medicare|All Plans | $349.67 | ↓ -45% |
| United | Medicare|All Plans | $352.94 | ↓ -45% |
| Molina | Medicare|All Plans | $352.94 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $375.81 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $375.81 | ↓ -41% |
| Aetna | Medicare|All Plans | $399.41 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $604.57 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $620.91 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $627.44 | ↓ -2% |
| Aetna | Commercial|AWH | $726.20 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $871.44 | ↑ +36% |
| Cigna | Commercial|All Plans | $1,252.70 | ↑ +95% |
| Aetna | Commercial|Rental | $1,307.16 | ↑ +104% |
| First Choice | Commercial|All Plans | $1,361.63 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $1,633.95 | ↑ +155% |
| United | Commercial|Navigate | $1,711.90 | ↑ +167% |
| United | Commercial|All Other Plans | $1,802.00 | ↑ +181% |
| United | Commercial|Cascade Care | $1,960.00 | ↑ +206% |
| Uniform Medical Plan | Commercial|All Plans | $3,769.07 | ↑ +488% |
| Kaiser | Commercial|HMO | $3,776.99 | ↑ +489% |
| Kaiser | Commercial|PPO | $4,154.98 | ↑ +548% |
| BCBS - Regence | Commercial|All Plans | $4,321.81 | ↑ +574% |
| BCBS - Premera | Commercial|All Plans | $6,454.10 | ↑ +906% |
Visitor-reported prices
Comments
Injection of sinus tract at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $3,697.92 | $1,796.72 – $6,571.29 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,088.80 | $1,729.00 – $4,400.30 |
| Swedish Medical Center Cherry Hill | Seattle | $3,697.92 | $1,796.72 – $6,328.40 |
| Swedish Issaquah | Issaquah | $3,697.92 | $1,801.76 – $6,571.29 |
| Kadlec Regional Medical Center | Richland | $6,776.00 | $146.87 – $5,006.05 |
| Providence Holy Family Hospital | Spokane | $2,261.70 | $1,729.00 – $4,538.62 |
| MultiCare Valley Hospital | Spokane Valley | $2,097.60 | $623.18 – $6,177.22 |
| St. Michael Medical Center | Silverdale | $801.27 | $1,143.77 – $6,542.30 |