Rsv assay w/optic at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$75.45
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.
$213.50
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.
$13.10 with Amerigroup vs $146.69 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 |
|---|---|---|---|
| Amerigroup | Medicare|All Plans | $13.10 | ↓ -83% |
| Aetna | Medicare|All Plans | $13.10 | ↓ -83% |
| BCBS - Regence | Medicare|All Plans | $13.10 | ↓ -83% |
| Kaiser | Medicare|All Plans | $13.10 | ↓ -83% |
| United | Medicare|All Plans | $13.10 | ↓ -83% |
| SoundPath | Medicare|All Plans | $13.10 | ↓ -83% |
| Optum | Medicare|All Plans | $13.23 | ↓ -82% |
| BCBS - Premera | Medicare|All Plans | $13.49 | ↓ -82% |
| CHPW | Medicare|All Plans | $13.76 | ↓ -82% |
| BCBS - Regence | Commercial|All Plans | $13.76 | ↓ -82% |
| Humana | Medicare|All Plans | $14.02 | ↓ -81% |
| Molina | Medicare|All Plans | $14.15 | ↓ -81% |
| Seattle Medical Group | Medicare|All Plans | $15.06 | ↓ -80% |
| Uniform Medical Plan | Commercial|All Plans | $19.65 | ↓ -74% |
| BCBS - Premera | Commercial|All Plans | $19.65 | ↓ -74% |
| Cigna | Commercial|All Plans | $21.74 | ↓ -71% |
| Coordinated Care | Commercial|Ambetter Exchange | $24.23 | ↓ -68% |
| Sound Family Medicine | Commercial|All Plans | $24.89 | ↓ -67% |
| Molina | Commercial|Marketplace Exchange | $25.15 | ↓ -67% |
| CHPW | Medicaid|All Plans | $27.71 | ↓ -63% |
| Coordinated Care | Medicaid|All Plans | $28.27 | ↓ -63% |
| United | Medicaid|All Plans | $29.37 | ↓ -61% |
| Molina | Medicaid|All Plans | $29.52 | ↓ -61% |
| WellPoint | Medicaid|All Plans | $33.74 | ↓ -55% |
| Aetna | Commercial|AWH | $60.69 | ↓ -20% |
| Aetna | Commercial|All Other Plans | $71.40 | ↓ -5% |
| United | Commercial|Navigate | $79.87 | ↑ +6% |
| United | Commercial|Cascade Care | $79.87 | ↑ +6% |
| United | Commercial|All Other Plans | $84.75 | ↑ +12% |
| First Choice | Commercial|All Plans | $86.65 | ↑ +15% |
| Aetna | Commercial|WEA | $88.85 | ↑ +18% |
| Aetna | Commercial|Rental | $117.35 | ↑ +56% |
| MultiPlan | Commercial|All Plans | $146.69 | ↑ +94% |
Visitor-reported prices
Comments
Rsv assay w/optic at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $394.80 | $13.10 – $47.16 |
| Central Medical Center | Seattle | $58.40 | $10.00 – $10.00 |
| Kadlec Regional Medical Center | Richland | $58.80 | $13.10 – $51.22 |
| MultiCare Valley Hospital | Spokane Valley | $52.80 | $4.89 – $23.75 |
| St. Michael Medical Center | Silverdale | $94.23 | $13.10 – $146.69 |
| St. Anne Hospital | Burien | $65.20 | $13.10 – $146.69 |
| St. Anthony Hospital | Gig Harbor | $64.94 | $13.10 – $122.24 |
| St. Joseph Medical Center | Tacoma | $70.72 | $13.10 – $122.24 |