Peng benzathine/procaine inj at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$423.34
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.
$1,198.00
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.
$10.89 with United vs $539.10 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 |
|---|---|---|---|
| United | Commercial|Cascade Care | $10.89 | ↓ -97% |
| United | Commercial|Navigate | $17.07 | ↓ -96% |
| BCBS - Premera | Commercial|All Plans | $17.58 | ↓ -96% |
| United | Commercial|All Other Plans | $17.97 | ↓ -96% |
| BCBS - Regence | Commercial|All Plans | $19.52 | ↓ -95% |
| Uniform Medical Plan | Commercial|All Plans | $19.52 | ↓ -95% |
| Aetna | Commercial|AWH | $24.89 | ↓ -94% |
| Aetna | Commercial|All Other Plans | $29.28 | ↓ -93% |
| Kaiser | Commercial|HMO | $43.25 | ↓ -90% |
| Kaiser | Commercial|PPO | $47.58 | ↓ -89% |
| CHPW | Medicaid|All Plans | $101.83 | ↓ -76% |
| Coordinated Care | Medicaid|All Plans | $103.87 | ↓ -75% |
| SoundPath | Medicare|All Plans | $107.82 | ↓ -75% |
| Amerigroup | Medicare|All Plans | $107.82 | ↓ -75% |
| Kaiser | Medicare|All Plans | $107.82 | ↓ -75% |
| United | Medicaid|All Plans | $107.94 | ↓ -75% |
| Molina | Medicaid|All Plans | $108.48 | ↓ -74% |
| Optum | Medicare|All Plans | $108.90 | ↓ -74% |
| BCBS - Regence | Medicare|All Plans | $111.06 | ↓ -74% |
| BCBS - Premera | Medicare|All Plans | $111.06 | ↓ -74% |
| CHPW | Medicare|All Plans | $113.22 | ↓ -73% |
| Humana | Medicare|All Plans | $115.37 | ↓ -73% |
| Molina | Medicare|All Plans | $116.45 | ↓ -72% |
| United | Medicare|All Plans | $116.45 | ↓ -72% |
| Seattle Medical Group | Medicare|All Plans | $124.00 | ↓ -71% |
| WellPoint | Medicaid|All Plans | $124.00 | ↓ -71% |
| Aetna | Medicare|All Plans | $131.78 | ↓ -69% |
| Coordinated Care | Commercial|Ambetter Exchange | $199.47 | ↓ -53% |
| Sound Family Medicine | Commercial|All Plans | $204.86 | ↓ -52% |
| Molina | Commercial|Marketplace Exchange | $207.02 | ↓ -51% |
| Cigna | Commercial|All Plans | $299.50 | ↓ -29% |
| Aetna | Commercial|Rental | $431.28 | ↑ +2% |
| First Choice | Commercial|All Plans | $449.25 | ↑ +6% |
| MultiPlan | Commercial|All Plans | $539.10 | ↑ +27% |
Visitor-reported prices
Comments
Peng benzathine/procaine inj at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Centralia Hospital | Centralia | $887.44 | $19.52 – $111.38 |
| Providence St Mary Medical Center | Walla Walla | $1,361.65 | $19.52 – $120.74 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $408.32 | $14.94 – $36.12 |
| Providence St Peter Hospital | Olympia | $887.46 | $16.59 – $63.74 |
| St. Michael Medical Center | Silverdale | $528.74 | $22.20 – $539.10 |
| St. Anne Hospital | Burien | $365.82 | $257.57 – $539.10 |
| St. Anthony Hospital | Gig Harbor | $364.38 | $43.25 – $449.25 |
| St. Joseph Medical Center | Tacoma | $396.78 | $43.25 – $449.25 |