Kyleena, 19.5 mg at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$2,391.75
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.
?
What you pay up front if you don't use insurance.
$6,768.49
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.
?
The hospital's undiscounted list price — almost no one pays this.
$688.84 with CHPW vs $3,646.80 with MultiPlan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $688.84 | ↓ -71% |
| Coordinated Care | Medicaid|All Plans | $702.62 | ↓ -71% |
| Amerigroup | Medicare|All Plans | $729.36 | ↓ -70% |
| SoundPath | Medicare|All Plans | $729.36 | ↓ -70% |
| Kaiser | Medicare|All Plans | $729.36 | ↓ -70% |
| United | Medicaid|All Plans | $730.18 | ↓ -69% |
| Molina | Medicaid|All Plans | $733.82 | ↓ -69% |
| Optum | Medicare|All Plans | $736.66 | ↓ -69% |
| BCBS - Regence | Medicare|All Plans | $751.25 | ↓ -69% |
| BCBS - Premera | Medicare|All Plans | $751.25 | ↓ -69% |
| CHPW | Medicare|All Plans | $765.83 | ↓ -68% |
| Humana | Medicare|All Plans | $780.42 | ↓ -67% |
| Molina | Medicare|All Plans | $787.71 | ↓ -67% |
| United | Medicare|All Plans | $787.71 | ↓ -67% |
| WellPoint | Medicaid|All Plans | $838.77 | ↓ -65% |
| Seattle Medical Group | Medicare|All Plans | $838.77 | ↓ -65% |
| Aetna | Medicare|All Plans | $891.44 | ↓ -63% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,349.32 | ↓ -44% |
| Sound Family Medicine | Commercial|All Plans | $1,385.79 | ↓ -42% |
| Molina | Commercial|Marketplace Exchange | $1,400.38 | ↓ -41% |
| United | Commercial|Cascade Care | $1,458.72 | ↓ -39% |
| United | Commercial|Navigate | $1,499.24 | ↓ -37% |
| United | Commercial|All Other Plans | $1,580.28 | ↓ -34% |
| Aetna | Commercial|AWH | $1,620.80 | ↓ -32% |
| Aetna | Commercial|All Other Plans | $1,944.96 | ↓ -19% |
| Cigna | Commercial|All Plans | $2,026.00 | ↓ -15% |
| BCBS - Regence | Commercial|All Plans | $2,431.20 | ↑ +2% |
| Uniform Medical Plan | Commercial|All Plans | $2,431.20 | ↑ +2% |
| BCBS - Premera | Commercial|All Plans | $2,644.08 | ↑ +11% |
| Aetna | Commercial|Rental | $2,917.44 | ↑ +22% |
| First Choice | Commercial|All Plans | $3,039.00 | ↑ +27% |
| MultiPlan | Commercial|All Plans | $3,646.80 | ↑ +52% |
Visitor-reported prices
Comments
Kyleena, 19.5 mg at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $2,618.91 | $1,211.87 – $1,211.87 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,315.14 | $1,211.87 – $2,429.26 |
| Swedish Medical Center Cherry Hill | Seattle | $2,618.91 | $1,211.87 – $1,211.87 |
| Swedish Issaquah | Issaquah | $2,618.91 | $1,211.87 – $1,211.87 |
| Swedish Edmonds Hospital | Edmonds | $2,618.91 | $1,211.87 – $1,211.87 |
| Kadlec Regional Medical Center | Richland | $2,874.93 | $1,465.24 – $4,164.45 |
| Providence Holy Family Hospital | Spokane | $1,315.14 | $1,211.87 – $2,429.26 |
| St. Michael Medical Center | Silverdale | $2,987.26 | $2,313.57 – $3,646.80 |