Revise abdomen-venous shunt at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$3,817.19
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.
$10,802.40
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.
$1,836.41 with CHPW vs $14,641.54 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 | $1,836.41 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $1,873.14 | ↓ -51% |
| SoundPath | Medicare|All Plans | $1,944.44 | ↓ -49% |
| Kaiser | Medicare|All Plans | $1,944.44 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $1,944.44 | ↓ -49% |
| United | Medicaid|All Plans | $1,946.60 | ↓ -49% |
| Molina | Medicaid|All Plans | $1,956.32 | ↓ -49% |
| Optum | Medicare|All Plans | $1,963.88 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $2,002.77 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $2,002.77 | ↓ -48% |
| CHPW | Medicare|All Plans | $2,041.66 | ↓ -47% |
| Humana | Medicare|All Plans | $2,080.55 | ↓ -45% |
| Molina | Medicare|All Plans | $2,099.99 | ↓ -45% |
| United | Medicare|All Plans | $2,099.99 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $2,236.10 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $2,236.10 | ↓ -41% |
| Aetna | Medicare|All Plans | $2,376.53 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $3,597.20 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $3,694.43 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $3,733.31 | ↓ -2% |
| Aetna | Commercial|AWH | $4,320.96 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $5,185.16 | ↑ +36% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +55% |
| First Choice | Commercial|All Plans | $7,516.64 | ↑ +97% |
| Aetna | Commercial|Rental | $7,777.73 | ↑ +104% |
| Uniform Medical Plan | Commercial|All Plans | $8,550.38 | ↑ +124% |
| United | Commercial|Navigate | $8,801.75 | ↑ +131% |
| United | Commercial|All Other Plans | $9,265.00 | ↑ +143% |
| Kaiser | Commercial|HMO | $9,637.24 | ↑ +152% |
| MultiPlan | Commercial|All Plans | $9,722.16 | ↑ +155% |
| BCBS - Regence | Commercial|All Plans | $9,804.30 | ↑ +157% |
| United | Commercial|Cascade Care | $10,078.00 | ↑ +164% |
| Kaiser | Commercial|PPO | $10,601.70 | ↑ +178% |
| BCBS - Premera | Commercial|All Plans | $14,641.54 | ↑ +284% |
Visitor-reported prices
Comments
Revise abdomen-venous shunt at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $10,193.76 | $4,146.07 – $15,142.49 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $9,072.00 | $3,989.80 – $10,154.04 |
| Swedish Medical Center Cherry Hill | Seattle | $10,193.76 | $4,146.07 – $14,582.80 |
| Swedish Issaquah | Issaquah | $10,193.76 | $4,157.70 – $15,142.49 |
| MultiCare Valley Hospital | Spokane Valley | $4,147.20 | $2,526.23 – $15,761.59 |
| St. Michael Medical Center | Silverdale | $4,767.62 | $6,805.52 – $16,693.12 |
| St. Anne Hospital | Burien | $3,298.58 | $4,645.04 – $9,722.16 |
| St. Anthony Hospital | Gig Harbor | $3,285.54 | $7,777.73 – $9,637.24 |