Insulin for insulin pump use at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$41.97
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.
$118.75
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.
$3.14 with Aetna vs $71.28 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 |
|---|---|---|---|
| Aetna | Commercial|AWH | $3.14 | ↓ -93% |
| Aetna | Commercial|All Other Plans | $3.69 | ↓ -91% |
| CHPW | Medicaid|All Plans | $13.47 | ↓ -68% |
| Coordinated Care | Medicaid|All Plans | $13.74 | ↓ -67% |
| SoundPath | Medicare|All Plans | $14.26 | ↓ -66% |
| Amerigroup | Medicare|All Plans | $14.26 | ↓ -66% |
| Kaiser | Medicare|All Plans | $14.26 | ↓ -66% |
| United | Medicaid|All Plans | $14.28 | ↓ -66% |
| Molina | Medicaid|All Plans | $14.35 | ↓ -66% |
| Optum | Medicare|All Plans | $14.40 | ↓ -66% |
| BCBS - Regence | Medicare|All Plans | $14.69 | ↓ -65% |
| BCBS - Premera | Medicare|All Plans | $14.69 | ↓ -65% |
| CHPW | Medicare|All Plans | $14.97 | ↓ -64% |
| Humana | Medicare|All Plans | $15.26 | ↓ -64% |
| United | Medicare|All Plans | $15.40 | ↓ -63% |
| Molina | Medicare|All Plans | $15.40 | ↓ -63% |
| Seattle Medical Group | Medicare|All Plans | $16.40 | ↓ -61% |
| WellPoint | Medicaid|All Plans | $16.40 | ↓ -61% |
| Aetna | Medicare|All Plans | $17.43 | ↓ -58% |
| Coordinated Care | Commercial|Ambetter Exchange | $26.38 | ↓ -37% |
| Sound Family Medicine | Commercial|All Plans | $27.09 | ↓ -35% |
| Molina | Commercial|Marketplace Exchange | $27.38 | ↓ -35% |
| Aetna | Commercial|Rental | $57.03 | ↑ +36% |
| First Choice | Commercial|All Plans | $59.40 | ↑ +42% |
| MultiPlan | Commercial|All Plans | $71.28 | ↑ +70% |
Visitor-reported prices
Comments
Insulin for insulin pump use at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $396.18 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $18.26 | $4.61 – $4.61 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $396.18 | $4.61 – $5.24 |
| Swedish Medical Center Cherry Hill | Seattle | $18.26 | $4.61 – $4.61 |
| Swedish Issaquah | Issaquah | $18.26 | $4.61 – $6.47 |
| Providence Centralia Hospital | Centralia | $336.90 | $6.60 – $15.98 |
| Providence Mount Carmel Hospital | Colville | $396.18 | not published |
| Swedish Edmonds Hospital | Edmonds | $17.41 | $4.61 – $6.47 |