Sm-153 lexidron ther at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$7,810.05
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.
$22,101.95
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.
$3,757.34 with CHPW vs $51,662.18 with Kaiser — 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 | $3,757.34 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $3,832.48 | ↓ -51% |
| SoundPath | Medicare|All Plans | $3,978.36 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $3,978.36 | ↓ -49% |
| Kaiser | Medicare|All Plans | $3,978.36 | ↓ -49% |
| United | Medicaid|All Plans | $3,982.78 | ↓ -49% |
| Molina | Medicaid|All Plans | $4,002.67 | ↓ -49% |
| Optum | Medicare|All Plans | $4,018.14 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $4,097.71 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $4,097.71 | ↓ -48% |
| CHPW | Medicare|All Plans | $4,177.27 | ↓ -47% |
| Humana | Medicare|All Plans | $4,256.84 | ↓ -45% |
| United | Medicare|All Plans | $4,296.62 | ↓ -45% |
| Molina | Medicare|All Plans | $4,296.62 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $4,575.11 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $4,575.11 | ↓ -41% |
| Aetna | Medicare|All Plans | $4,862.43 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $7,359.95 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $7,558.87 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $7,638.44 | ↓ -2% |
| United | Commercial|Cascade Care | $7,956.71 | ↑ +2% |
| United | Commercial|Navigate | $8,177.73 | ↑ +5% |
| United | Commercial|All Other Plans | $8,619.77 | ↑ +10% |
| Aetna | Commercial|AWH | $8,840.78 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $10,608.94 | ↑ +36% |
| Aetna | Commercial|Rental | $15,913.41 | ↑ +104% |
| First Choice | Commercial|All Plans | $16,576.47 | ↑ +112% |
| Uniform Medical Plan | Commercial|All Plans | $17,259.85 | ↑ +121% |
| BCBS - Premera | Commercial|All Plans | $17,259.85 | ↑ +121% |
| BCBS - Regence | Commercial|All Plans | $17,259.85 | ↑ +121% |
| MultiPlan | Commercial|All Plans | $19,891.76 | ↑ +155% |
| Kaiser | Commercial|HMO | $46,962.33 | ↑ +501% |
| Kaiser | Commercial|PPO | $51,662.18 | ↑ +561% |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MultiCare Valley Hospital | Spokane Valley | $47,621.20 | $3,159.80 – $76,806.33 |
| St. Michael Medical Center | Silverdale | $9,754.66 | $13,924.23 – $81,345.67 |
| St. Anne Hospital | Burien | $6,748.96 | $9,503.84 – $37,580.40 |
| St. Anthony Hospital | Gig Harbor | $6,722.28 | $15,913.41 – $46,962.33 |
| MultiCare Auburn Medical Center | Auburn | $25,860.40 | $3,096.60 – $79,913.11 |
| MultiCare Good Samaritan Hospital | Puyallup | $25,860.40 | $3,096.60 – $79,913.11 |
| St. Joseph Medical Center | Tacoma | $7,320.12 | $15,913.41 – $46,962.33 |
| Virginia Mason Medical Center | Seattle | $15,136.80 | $3,020.44 – $51,123.68 |