Insitu hybridization (fish) at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$361.80
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.
$1,023.85
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.
$174.06 with CHPW vs $970.13 with Kaiser — 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 | $174.06 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $177.54 | ↓ -51% |
| Kaiser | Medicare|All Plans | $184.30 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $184.30 | ↓ -49% |
| SoundPath | Medicare|All Plans | $184.30 | ↓ -49% |
| United | Medicaid|All Plans | $184.50 | ↓ -49% |
| Molina | Medicaid|All Plans | $185.42 | ↓ -49% |
| Optum | Medicare|All Plans | $186.14 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $189.83 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $189.83 | ↓ -48% |
| CHPW | Medicare|All Plans | $193.51 | ↓ -47% |
| Humana | Medicare|All Plans | $197.20 | ↓ -45% |
| Molina | Medicare|All Plans | $199.04 | ↓ -45% |
| United | Medicare|All Plans | $199.04 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $211.94 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $211.94 | ↓ -41% |
| Aetna | Medicare|All Plans | $225.25 | ↓ -38% |
| Cigna | Commercial|All Plans | $297.73 | ↓ -18% |
| Coordinated Care | Commercial|Ambetter Exchange | $340.95 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $350.16 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $353.85 | ↓ -2% |
| Aetna | Commercial|AWH | $409.54 | ↑ +13% |
| Uniform Medical Plan | Commercial|All Plans | $422.13 | ↑ +17% |
| BCBS - Regence | Commercial|All Plans | $484.04 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $491.45 | ↑ +36% |
| United | Commercial|Cascade Care | $501.69 | ↑ +39% |
| United | Commercial|Navigate | $501.69 | ↑ +39% |
| United | Commercial|All Other Plans | $532.41 | ↑ +47% |
| BCBS - Premera | Commercial|All Plans | $722.85 | ↑ +100% |
| Aetna | Commercial|Rental | $737.18 | ↑ +104% |
| First Choice | Commercial|All Plans | $767.89 | ↑ +112% |
| Kaiser | Commercial|HMO | $881.87 | ↑ +144% |
| MultiPlan | Commercial|All Plans | $921.47 | ↑ +155% |
| Kaiser | Commercial|PPO | $970.13 | ↑ +168% |
Visitor-reported prices
Comments
Insitu hybridization (fish) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $1,343.20 | $1,039.00 – $1,039.00 |
| Swedish Edmonds Hospital | Edmonds | $680.16 | $194.02 – $1,275.35 |
| Providence St Mary Medical Center | Walla Walla | $304.50 | $151.35 – $351.22 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $297.44 | $194.02 – $1,190.32 |
| MultiCare Valley Hospital | Spokane Valley | $458.80 | $27.41 – $1,442.29 |
| St. Michael Medical Center | Silverdale | $451.88 | $526.96 – $1,527.53 |
| St. Anne Hospital | Burien | $312.64 | $297.73 – $921.47 |
| St. Anthony Hospital | Gig Harbor | $311.41 | $297.73 – $881.87 |