Radphm lcl tmr spect/ct 2+ areas/2+ days at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,886.87
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.
$5,339.71
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.
$793.00 with United vs $6,009.38 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 |
|---|---|---|---|
| United | Commercial|Cascade Care | $793.00 | ↓ -58% |
| United | Commercial|Navigate | $901.55 | ↓ -52% |
| CHPW | Medicaid|All Plans | $907.76 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $925.91 | ↓ -51% |
| United | Commercial|All Other Plans | $949.00 | ↓ -50% |
| Amerigroup | Medicare|All Plans | $961.15 | ↓ -49% |
| SoundPath | Medicare|All Plans | $961.15 | ↓ -49% |
| Kaiser | Medicare|All Plans | $961.15 | ↓ -49% |
| United | Medicaid|All Plans | $962.22 | ↓ -49% |
| Molina | Medicaid|All Plans | $967.03 | ↓ -49% |
| Optum | Medicare|All Plans | $970.76 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $989.99 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $989.99 | ↓ -48% |
| CHPW | Medicare|All Plans | $1,009.21 | ↓ -47% |
| Humana | Medicare|All Plans | $1,028.43 | ↓ -45% |
| Molina | Medicare|All Plans | $1,038.04 | ↓ -45% |
| United | Medicare|All Plans | $1,038.04 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $1,105.32 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $1,105.32 | ↓ -41% |
| Aetna | Medicare|All Plans | $1,174.74 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,778.13 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $1,826.19 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $1,845.41 | ↓ -2% |
| Aetna | Commercial|AWH | $2,135.89 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $2,563.07 | ↑ +36% |
| Uniform Medical Plan | Commercial|All Plans | $3,509.37 | ↑ +86% |
| Kaiser | Commercial|HMO | $3,611.37 | ↑ +91% |
| Aetna | Commercial|Rental | $3,844.60 | ↑ +104% |
| Kaiser | Commercial|PPO | $3,972.78 | ↑ +111% |
| First Choice | Commercial|All Plans | $4,004.79 | ↑ +112% |
| BCBS - Regence | Commercial|All Plans | $4,024.02 | ↑ +113% |
| MultiPlan | Commercial|All Plans | $4,805.74 | ↑ +155% |
| BCBS - Premera | Commercial|All Plans | $6,009.38 | ↑ +218% |
Visitor-reported prices
Comments
Radphm lcl tmr spect/ct 2+ areas/2+ days at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $3,411.36 | $1,499.19 – $5,979.29 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $8,628.90 | $1,442.68 – $4,579.88 |
| Swedish Medical Center Cherry Hill | Seattle | $3,411.36 | $1,499.19 – $5,788.46 |
| Swedish Issaquah | Issaquah | $3,411.36 | $1,503.40 – $5,979.29 |
| Providence Mount Carmel Hospital | Colville | $2,107.00 | not published |
| Providence Holy Family Hospital | Spokane | $4,498.20 | $1,442.68 – $4,863.28 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $956.80 | $1,474.35 – $5,343.20 |
| St. Michael Medical Center | Silverdale | $2,356.68 | $3,364.02 – $6,255.42 |