Phlebotomy therapeutic at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$166.46
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.
$471.05
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.
$80.08 with CHPW vs $540.59 with BCBS - Premera — 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 |
|---|---|---|---|
| CHPW | Medicaid|All Plans | $80.08 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $81.69 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $84.79 | ↓ -49% |
| SoundPath | Medicare|All Plans | $84.79 | ↓ -49% |
| Kaiser | Medicare|All Plans | $84.79 | ↓ -49% |
| United | Medicaid|All Plans | $84.89 | ↓ -49% |
| Molina | Medicaid|All Plans | $85.31 | ↓ -49% |
| Optum | Medicare|All Plans | $85.64 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $87.34 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $87.34 | ↓ -48% |
| CHPW | Medicare|All Plans | $89.03 | ↓ -47% |
| Humana | Medicare|All Plans | $90.73 | ↓ -45% |
| Molina | Medicare|All Plans | $91.58 | ↓ -45% |
| United | Medicare|All Plans | $91.58 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $97.51 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $97.51 | ↓ -41% |
| Aetna | Medicare|All Plans | $103.64 | ↓ -38% |
| United | Commercial|Cascade Care | $133.00 | ↓ -20% |
| United | Commercial|Navigate | $150.10 | ↓ -10% |
| Coordinated Care | Commercial|Ambetter Exchange | $156.86 | ↓ -6% |
| United | Commercial|All Other Plans | $158.00 | ↓ -5% |
| Sound Family Medicine | Commercial|All Plans | $161.10 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $162.80 | ↓ -2% |
| Aetna | Commercial|AWH | $188.42 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $226.11 | ↑ +36% |
| First Choice | Commercial|All Plans | $251.69 | ↑ +51% |
| Uniform Medical Plan | Commercial|All Plans | $315.70 | ↑ +90% |
| Kaiser | Commercial|HMO | $315.92 | ↑ +90% |
| Aetna | Commercial|Rental | $339.16 | ↑ +104% |
| Kaiser | Commercial|PPO | $347.54 | ↑ +109% |
| BCBS - Regence | Commercial|All Plans | $362.00 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $423.95 | ↑ +155% |
| BCBS - Premera | Commercial|All Plans | $540.59 | ↑ +225% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $315.00 | $148.26 – $163.09 |
| Providence St Joseph Hospital | Chewelah | $173.60 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $342.24 | $154.07 – $512.44 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $379.40 | $148.26 – $392.51 |
| Swedish Medical Center Cherry Hill | Seattle | $342.24 | $154.07 – $496.09 |
| Swedish Issaquah | Issaquah | $342.24 | $154.50 – $512.44 |
| Central Medical Center | Seattle | $383.20 | not published |
| Providence Centralia Hospital | Centralia | $198.64 | $154.07 – $679.26 |