Insert hepatic shunt (tips) at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$3,864.54
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.
$10,936.39
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.
$0.70 with Cigna vs $46,557.71 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.70 | ↓ -100% |
| United | Commercial|Navigate | $1,319.55 | ↓ -66% |
| United | Commercial|All Other Plans | $1,389.00 | ↓ -64% |
| United | Commercial|Cascade Care | $1,511.00 | ↓ -61% |
| CHPW | Medicaid|All Plans | $1,859.19 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $1,896.38 | ↓ -51% |
| Kaiser | Medicare|All Plans | $1,968.56 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $1,968.56 | ↓ -49% |
| SoundPath | Medicare|All Plans | $1,968.56 | ↓ -49% |
| United | Medicaid|All Plans | $1,970.74 | ↓ -49% |
| Molina | Medicaid|All Plans | $1,980.59 | ↓ -49% |
| Optum | Medicare|All Plans | $1,988.24 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $2,027.61 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $2,027.61 | ↓ -48% |
| CHPW | Medicare|All Plans | $2,066.98 | ↓ -47% |
| Humana | Medicare|All Plans | $2,106.35 | ↓ -45% |
| Molina | Medicare|All Plans | $2,126.04 | ↓ -45% |
| United | Medicare|All Plans | $2,126.04 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $2,263.84 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $2,263.84 | ↓ -41% |
| Aetna | Medicare|All Plans | $2,406.01 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $3,641.82 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $3,740.25 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $3,779.62 | ↓ -2% |
| Aetna | Commercial|AWH | $4,374.56 | ↑ +13% |
| Kaiser | Commercial|HMO | $5,140.11 | ↑ +33% |
| Aetna | Commercial|All Other Plans | $5,249.47 | ↑ +36% |
| Kaiser | Commercial|PPO | $5,686.93 | ↑ +47% |
| Aetna | Commercial|Rental | $7,874.21 | ↑ +104% |
| First Choice | Commercial|All Plans | $8,202.30 | ↑ +112% |
| Aetna | Commercial|WEA | $8,213.03 | ↑ +113% |
| MultiPlan | Commercial|All Plans | $9,842.76 | ↑ +155% |
| Uniform Medical Plan | Commercial|All Plans | $26,050.38 | ↑ +574% |
| BCBS - Regence | Commercial|All Plans | $29,870.72 | ↑ +673% |
| BCBS - Premera | Commercial|All Plans | $46,557.71 | ↑ +1105% |
Visitor-reported prices
Comments
Insert hepatic shunt (tips) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $12,741.12 | $7,277.00 – $64,490.20 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $18,813.20 | $5,419.00 – $51,988.64 |
| Swedish Medical Center Cherry Hill | Seattle | $12,741.12 | $7,277.00 – $49,673.16 |
| Swedish Issaquah | Issaquah | $12,741.12 | $7,277.00 – $47,258.04 |
| Kadlec Regional Medical Center | Richland | $15,278.90 | $1,352.82 – $37,791.35 |
| Providence Holy Family Hospital | Spokane | $22,058.40 | $2,985.00 – $53,622.86 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $10,349.56 | $7,246.00 – $48,432.60 |
| Providence St Peter Hospital | Olympia | $11,373.44 | $3,484.00 – $68,835.62 |