Susceptibility enzyme detection per enzyme at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$12.73
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.
$36.00
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.
$4.75 with Amerigroup vs $35.17 with Aetna — 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 | $4.75 | ↓ -63% |
| Aetna | Medicare|All Plans | $4.75 | ↓ -63% |
| BCBS - Regence | Medicare|All Plans | $4.75 | ↓ -63% |
| Kaiser | Medicare|All Plans | $4.75 | ↓ -63% |
| United | Medicare|All Plans | $4.75 | ↓ -63% |
| SoundPath | Medicare|All Plans | $4.75 | ↓ -63% |
| Optum | Medicare|All Plans | $4.80 | ↓ -62% |
| BCBS - Premera | Medicare|All Plans | $4.89 | ↓ -62% |
| CHPW | Medicare|All Plans | $4.99 | ↓ -61% |
| BCBS - Regence | Commercial|All Plans | $4.99 | ↓ -61% |
| Humana | Medicare|All Plans | $5.08 | ↓ -60% |
| Molina | Medicare|All Plans | $5.13 | ↓ -60% |
| Seattle Medical Group | Medicare|All Plans | $5.46 | ↓ -57% |
| CHPW | Medicaid|All Plans | $6.12 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $6.25 | ↓ -51% |
| United | Medicaid|All Plans | $6.49 | ↓ -49% |
| Molina | Medicaid|All Plans | $6.52 | ↓ -49% |
| Uniform Medical Plan | Commercial|All Plans | $7.13 | ↓ -44% |
| BCBS - Premera | Commercial|All Plans | $7.13 | ↓ -44% |
| WellPoint | Medicaid|All Plans | $7.46 | ↓ -41% |
| Cigna | Commercial|All Plans | $8.61 | ↓ -32% |
| Coordinated Care | Commercial|Ambetter Exchange | $8.79 | ↓ -31% |
| Sound Family Medicine | Commercial|All Plans | $9.03 | ↓ -29% |
| Molina | Commercial|Marketplace Exchange | $9.12 | ↓ -28% |
| Aetna | Commercial|AWH | $14.40 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $17.28 | ↑ +36% |
| United | Commercial|Navigate | $17.64 | ↑ +39% |
| United | Commercial|Cascade Care | $17.64 | ↑ +39% |
| United | Commercial|All Other Plans | $18.72 | ↑ +47% |
| Aetna | Commercial|Rental | $25.92 | ↑ +104% |
| First Choice | Commercial|All Plans | $27.00 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $32.40 | ↑ +155% |
| Aetna | Commercial|WEA | $35.17 | ↑ +176% |
Visitor-reported prices
Comments
Susceptibility enzyme detection per enzyme at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $46.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $30.24 | $4.28 – $22.33 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $27.30 | $4.75 – $17.10 |
| Swedish Medical Center Cherry Hill | Seattle | $30.24 | $4.28 – $21.61 |
| Swedish Issaquah | Issaquah | $30.24 | $4.28 – $22.33 |
| Central Medical Center | Seattle | $29.60 | $4.00 – $4.00 |
| Providence Centralia Hospital | Centralia | $83.72 | $4.75 – $29.59 |
| Providence Mount Carmel Hospital | Colville | $16.10 | not published |