Rmvl icd gen w/rplc icd gen dual lead sys at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$11,409.76
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.
$32,288.91
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 $99,755.97 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 | $5,489.12 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $5,598.90 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $5,812.01 | ↓ -49% |
| SoundPath | Medicare|All Plans | $5,812.01 | ↓ -49% |
| Kaiser | Medicare|All Plans | $5,812.01 | ↓ -49% |
| United | Medicaid|All Plans | $5,818.47 | ↓ -49% |
| Molina | Medicaid|All Plans | $5,847.53 | ↓ -49% |
| Optum | Medicare|All Plans | $5,870.13 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $5,986.37 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $5,986.37 | ↓ -48% |
| CHPW | Medicare|All Plans | $6,102.61 | ↓ -47% |
| Humana | Medicare|All Plans | $6,218.85 | ↓ -45% |
| United | Medicare|All Plans | $6,276.97 | ↓ -45% |
| Molina | Medicare|All Plans | $6,276.97 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $6,683.81 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $6,683.81 | ↓ -41% |
| Aetna | Medicare|All Plans | $7,103.57 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $10,752.21 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $11,042.81 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $11,159.05 | ↓ -2% |
| Aetna | Commercial|AWH | $12,915.57 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $15,498.68 | ↑ +36% |
| Aetna | Commercial|Rental | $23,248.02 | ↑ +104% |
| First Choice | Commercial|All Plans | $24,216.69 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $29,060.02 | ↑ +155% |
| United | Commercial|Navigate | $30,854.10 | ↑ +170% |
| United | Commercial|All Other Plans | $32,478.00 | ↑ +185% |
| United | Commercial|Cascade Care | $35,326.00 | ↑ +210% |
| Uniform Medical Plan | Commercial|All Plans | $58,255.49 | ↑ +411% |
| Kaiser | Commercial|HMO | $62,086.37 | ↑ +444% |
| BCBS - Regence | Commercial|All Plans | $66,798.76 | ↑ +485% |
| Kaiser | Commercial|PPO | $68,299.80 | ↑ +499% |
| BCBS - Premera | Commercial|All Plans | $99,755.97 | ↑ +774% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen dual lead sys at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $18,489.60 | $7,277.00 – $110,611.77 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $54,116.30 | $5,419.00 – $70,409.96 |
| Swedish Medical Center Cherry Hill | Seattle | $18,489.60 | $7,277.00 – $106,523.45 |
| Swedish Issaquah | Issaquah | $18,489.60 | $7,277.00 – $110,611.77 |
| Providence St Mary Medical Center | Walla Walla | $51,776.90 | $16,398.00 – $45,855.96 |
| Kadlec Regional Medical Center | Richland | $67,335.10 | $660.91 – $84,264.82 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $24,159.72 | $7,246.00 – $86,081.85 |
| Providence St Peter Hospital | Olympia | $35,094.80 | $3,484.00 – $106,750.58 |