Pralatrexate injection at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$27,316.02
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.
$77,302.70
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.
$289.14 with BCBS - Premera vs $46,381.64 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 |
|---|---|---|---|
| BCBS - Premera | Commercial|All Plans | $289.14 | ↓ -99% |
| United | Commercial|Cascade Care | $291.26 | ↓ -99% |
| Uniform Medical Plan | Commercial|All Plans | $299.13 | ↓ -99% |
| BCBS - Regence | Commercial|All Plans | $299.13 | ↓ -99% |
| United | Commercial|Navigate | $456.55 | ↓ -98% |
| Aetna | Commercial|AWH | $476.55 | ↓ -98% |
| United | Commercial|All Other Plans | $480.58 | ↓ -98% |
| First Choice | Commercial|All Plans | $548.24 | ↓ -98% |
| Aetna | Commercial|All Other Plans | $560.65 | ↓ -98% |
| Kaiser | Commercial|HMO | $1,055.64 | ↓ -96% |
| Kaiser | Commercial|PPO | $1,161.22 | ↓ -96% |
| CHPW | Medicaid|All Plans | $8,760.98 | ↓ -68% |
| Coordinated Care | Medicaid|All Plans | $8,936.20 | ↓ -67% |
| SoundPath | Medicare|All Plans | $9,276.33 | ↓ -66% |
| Amerigroup | Medicare|All Plans | $9,276.33 | ↓ -66% |
| Kaiser | Medicare|All Plans | $9,276.33 | ↓ -66% |
| United | Medicaid|All Plans | $9,286.64 | ↓ -66% |
| Molina | Medicaid|All Plans | $9,333.02 | ↓ -66% |
| Optum | Medicare|All Plans | $9,369.10 | ↓ -66% |
| BCBS - Premera | Medicare|All Plans | $9,554.62 | ↓ -65% |
| BCBS - Regence | Medicare|All Plans | $9,554.62 | ↓ -65% |
| CHPW | Medicare|All Plans | $9,740.15 | ↓ -64% |
| Humana | Medicare|All Plans | $9,925.67 | ↓ -64% |
| United | Medicare|All Plans | $10,018.44 | ↓ -63% |
| Molina | Medicare|All Plans | $10,018.44 | ↓ -63% |
| WellPoint | Medicaid|All Plans | $10,667.78 | ↓ -61% |
| Seattle Medical Group | Medicare|All Plans | $10,667.78 | ↓ -61% |
| Aetna | Medicare|All Plans | $11,337.74 | ↓ -58% |
| Coordinated Care | Commercial|Ambetter Exchange | $17,161.21 | ↓ -37% |
| Sound Family Medicine | Commercial|All Plans | $17,625.03 | ↓ -35% |
| Molina | Commercial|Marketplace Exchange | $17,810.55 | ↓ -35% |
| Cigna | Commercial|All Plans | $25,767.58 | ↓ -6% |
| Aetna | Commercial|Rental | $37,105.31 | ↑ +36% |
| MultiPlan | Commercial|All Plans | $46,381.64 | ↑ +70% |
Visitor-reported prices
Comments
Pralatrexate injection at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Central Medical Center | Seattle | $19,643.98 | $388.83 – $388.83 |
| Providence St Peter Hospital | Olympia | $14,328.39 | $289.14 – $1,282.23 |
| St. Michael Medical Center | Silverdale | $34,117.40 | $543.22 – $46,381.64 |
| St. Anne Hospital | Burien | $23,604.81 | $684.06 – $46,381.64 |
| St. Anthony Hospital | Gig Harbor | $23,511.52 | $546.58 – $38,651.37 |
| St. Joseph Medical Center | Tacoma | $25,602.47 | $546.58 – $38,651.37 |
| St. Francis Hospital | Federal Way | $24,259.37 | $546.58 – $38,651.37 |
| St. Clare Hospital | Lakewood | $22,281.80 | $546.58 – $38,651.37 |