Nm radiopharmaceutical therapy oral administration at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$825.80
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.
$2,336.94
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.
$203.34 with Aetna vs $2,103.25 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 | $203.34 | ↓ -75% |
| Aetna | Commercial|All Other Plans | $239.22 | ↓ -71% |
| CHPW | Medicaid|All Plans | $397.28 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $405.23 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $420.65 | ↓ -49% |
| Kaiser | Medicare|All Plans | $420.65 | ↓ -49% |
| SoundPath | Medicare|All Plans | $420.65 | ↓ -49% |
| United | Medicaid|All Plans | $421.12 | ↓ -49% |
| Molina | Medicaid|All Plans | $423.22 | ↓ -49% |
| Optum | Medicare|All Plans | $424.86 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $433.27 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $433.27 | ↓ -48% |
| CHPW | Medicare|All Plans | $441.69 | ↓ -47% |
| Humana | Medicare|All Plans | $450.10 | ↓ -45% |
| Molina | Medicare|All Plans | $454.31 | ↓ -45% |
| United | Medicare|All Plans | $454.31 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $483.75 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $483.75 | ↓ -41% |
| Aetna | Medicare|All Plans | $514.13 | ↓ -38% |
| Cigna | Commercial|All Plans | $532.62 | ↓ -36% |
| Uniform Medical Plan | Commercial|All Plans | $614.86 | ↓ -26% |
| Kaiser | Commercial|HMO | $679.49 | ↓ -18% |
| BCBS - Regence | Commercial|All Plans | $705.03 | ↓ -15% |
| Kaiser | Commercial|PPO | $747.49 | ↓ -9% |
| Coordinated Care | Commercial|Ambetter Exchange | $778.21 | ↓ -6% |
| United | Commercial|Cascade Care | $793.00 | ↓ -4% |
| Sound Family Medicine | Commercial|All Plans | $799.24 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $807.65 | ↓ -2% |
| United | Commercial|Navigate | $901.55 | ↑ +9% |
| United | Commercial|All Other Plans | $949.00 | ↑ +15% |
| BCBS - Premera | Commercial|All Plans | $1,052.88 | ↑ +27% |
| First Choice | Commercial|All Plans | $1,206.88 | ↑ +46% |
| Aetna | Commercial|Rental | $1,682.60 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $2,103.25 | ↑ +155% |
Visitor-reported prices
Comments
Nm radiopharmaceutical therapy oral administration at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $703.68 | $270.20 – $1,115.78 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,541.70 | $260.02 – $854.64 |
| Swedish Medical Center Cherry Hill | Seattle | $703.68 | $270.20 – $1,080.17 |
| Swedish Issaquah | Issaquah | $703.68 | $214.47 – $1,115.78 |
| Central Medical Center | Seattle | $768.00 | $225.00 – $225.00 |
| Providence St Mary Medical Center | Walla Walla | $685.30 | $220.45 – $481.03 |
| Kadlec Regional Medical Center | Richland | $893.90 | $229.48 – $928.23 |
| Providence Holy Family Hospital | Spokane | $1,604.40 | $258.68 – $852.06 |