Removal/replacement ppm generator dual lead system at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$8,255.48
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.
$23,362.50
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.
$0.70 with Cigna vs $45,191.18 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.70 | ↓ -100% |
| CHPW | Medicaid|All Plans | $3,971.63 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $4,051.06 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $4,205.25 | ↓ -49% |
| SoundPath | Medicare|All Plans | $4,205.25 | ↓ -49% |
| Kaiser | Medicare|All Plans | $4,205.25 | ↓ -49% |
| United | Medicaid|All Plans | $4,209.93 | ↓ -49% |
| Molina | Medicaid|All Plans | $4,230.95 | ↓ -49% |
| Optum | Medicare|All Plans | $4,247.31 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $4,331.41 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $4,331.41 | ↓ -48% |
| CHPW | Medicare|All Plans | $4,415.52 | ↓ -47% |
| Humana | Medicare|All Plans | $4,499.62 | ↓ -45% |
| United | Medicare|All Plans | $4,541.67 | ↓ -45% |
| Molina | Medicare|All Plans | $4,541.67 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $4,836.04 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $4,836.04 | ↓ -41% |
| Aetna | Medicare|All Plans | $5,139.75 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $7,779.72 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $7,989.98 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $8,074.08 | ↓ -2% |
| Aetna | Commercial|AWH | $9,345.00 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $11,214.00 | ↑ +36% |
| Aetna | Commercial|Rental | $16,821.00 | ↑ +104% |
| First Choice | Commercial|All Plans | $17,521.88 | ↑ +112% |
| United | Commercial|Cascade Care | $19,424.00 | ↑ +135% |
| MultiPlan | Commercial|All Plans | $21,026.25 | ↑ +155% |
| United | Commercial|Navigate | $22,054.25 | ↑ +167% |
| United | Commercial|All Other Plans | $23,215.00 | ↑ +181% |
| Uniform Medical Plan | Commercial|All Plans | $26,390.75 | ↑ +220% |
| Kaiser | Commercial|HMO | $28,103.55 | ↑ +240% |
| BCBS - Regence | Commercial|All Plans | $30,261.00 | ↑ +267% |
| Kaiser | Commercial|PPO | $30,916.07 | ↑ +274% |
| BCBS - Premera | Commercial|All Plans | $45,191.18 | ↑ +447% |
Visitor-reported prices
Comments
Removal/replacement ppm generator dual lead system at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $12,355.68 | $7,277.00 – $49,926.95 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $28,089.60 | $5,419.00 – $31,781.01 |
| Swedish Medical Center Cherry Hill | Seattle | $12,355.68 | $7,277.00 – $48,081.60 |
| Swedish Issaquah | Issaquah | $12,355.68 | $7,277.00 – $49,926.95 |
| Providence St Mary Medical Center | Walla Walla | $9,388.40 | $9,461.97 – $21,547.18 |
| Kadlec Regional Medical Center | Richland | $25,641.70 | $604.12 – $38,034.70 |
| Providence Holy Family Hospital | Spokane | $17,630.20 | $2,985.00 – $30,573.70 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $10,216.44 | $7,246.00 – $38,854.85 |