Pertussis ag if at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$70.66
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.
$199.95
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.
$11.98 with Amerigroup vs $179.96 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 |
|---|---|---|---|
| Amerigroup | Medicare|All Plans | $11.98 | ↓ -83% |
| Aetna | Medicare|All Plans | $11.98 | ↓ -83% |
| BCBS - Regence | Medicare|All Plans | $11.98 | ↓ -83% |
| Kaiser | Medicare|All Plans | $11.98 | ↓ -83% |
| United | Medicare|All Plans | $11.98 | ↓ -83% |
| SoundPath | Medicare|All Plans | $11.98 | ↓ -83% |
| Optum | Medicare|All Plans | $12.10 | ↓ -83% |
| BCBS - Premera | Medicare|All Plans | $12.34 | ↓ -83% |
| CHPW | Medicare|All Plans | $12.58 | ↓ -82% |
| BCBS - Regence | Commercial|All Plans | $12.58 | ↓ -82% |
| Humana | Medicare|All Plans | $12.82 | ↓ -82% |
| Molina | Medicare|All Plans | $12.94 | ↓ -82% |
| Seattle Medical Group | Medicare|All Plans | $13.78 | ↓ -80% |
| Uniform Medical Plan | Commercial|All Plans | $17.97 | ↓ -75% |
| BCBS - Premera | Commercial|All Plans | $17.97 | ↓ -75% |
| Cigna | Commercial|All Plans | $21.74 | ↓ -69% |
| Coordinated Care | Commercial|Ambetter Exchange | $22.16 | ↓ -69% |
| Sound Family Medicine | Commercial|All Plans | $22.76 | ↓ -68% |
| Molina | Commercial|Marketplace Exchange | $23.00 | ↓ -67% |
| CHPW | Medicaid|All Plans | $34.00 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $34.68 | ↓ -51% |
| United | Medicaid|All Plans | $36.04 | ↓ -49% |
| Molina | Medicaid|All Plans | $36.22 | ↓ -49% |
| WellPoint | Medicaid|All Plans | $41.39 | ↓ -41% |
| Aetna | Commercial|AWH | $55.50 | ↓ -21% |
| Aetna | Commercial|All Other Plans | $65.29 | ↓ -8% |
| First Choice | Commercial|All Plans | $86.65 | ↑ +23% |
| Aetna | Commercial|WEA | $88.85 | ↑ +26% |
| United | Commercial|Cascade Care | $97.98 | ↑ +39% |
| United | Commercial|Navigate | $97.98 | ↑ +39% |
| United | Commercial|All Other Plans | $103.98 | ↑ +47% |
| Aetna | Commercial|Rental | $143.97 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $179.96 | ↑ +155% |
Visitor-reported prices
Comments
Pertussis ag if at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $53.60 | $9.00 – $9.00 |
| Providence Holy Family Hospital | Spokane | $281.40 | $11.98 – $51.12 |
| St. Michael Medical Center | Silverdale | $88.25 | $11.98 – $179.96 |
| St. Anne Hospital | Burien | $61.06 | $11.98 – $179.96 |
| St. Anthony Hospital | Gig Harbor | $60.82 | $11.98 – $149.97 |
| St. Joseph Medical Center | Tacoma | $66.23 | $11.98 – $149.97 |
| Virginia Mason Medical Center | Seattle | $34.68 | $8.39 – $37.45 |
| St. Francis Hospital | Federal Way | $62.75 | $11.98 – $149.97 |