Tc-99m maa at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$80.10
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.
$226.65
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.
$38.54 with CHPW vs $203.99 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 |
|---|---|---|---|
| CHPW | Medicaid|All Plans | $38.54 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $39.31 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $40.80 | ↓ -49% |
| SoundPath | Medicare|All Plans | $40.80 | ↓ -49% |
| Kaiser | Medicare|All Plans | $40.80 | ↓ -49% |
| United | Medicaid|All Plans | $40.85 | ↓ -49% |
| Molina | Medicaid|All Plans | $41.05 | ↓ -49% |
| Optum | Medicare|All Plans | $41.21 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $42.03 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $42.03 | ↓ -48% |
| CHPW | Medicare|All Plans | $42.84 | ↓ -47% |
| Humana | Medicare|All Plans | $43.66 | ↓ -45% |
| Molina | Medicare|All Plans | $44.07 | ↓ -45% |
| United | Medicare|All Plans | $44.07 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $46.92 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $46.92 | ↓ -41% |
| Aetna | Medicare|All Plans | $49.87 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $75.48 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $77.52 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $78.34 | ↓ -2% |
| United | Commercial|Cascade Care | $81.60 | ↑ +2% |
| United | Commercial|Navigate | $83.87 | ↑ +5% |
| United | Commercial|All Other Plans | $88.40 | ↑ +10% |
| Aetna | Commercial|AWH | $90.66 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $108.80 | ↑ +36% |
| Aetna | Commercial|Rental | $163.19 | ↑ +104% |
| First Choice | Commercial|All Plans | $169.99 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $203.99 | ↑ +155% |
Visitor-reported prices
Comments
Tc-99m maa at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Peter Hospital | Olympia | $333.96 | not published |
| MultiCare Valley Hospital | Spokane Valley | $440.40 | not published |
| St. Michael Medical Center | Silverdale | $100.04 | $142.79 – $203.99 |
| St. Anne Hospital | Burien | $69.21 | $97.46 – $203.99 |
| St. Anthony Hospital | Gig Harbor | $68.94 | $163.19 – $169.99 |
| MultiCare Auburn Medical Center | Auburn | $417.60 | not published |
| MultiCare Good Samaritan Hospital | Puyallup | $417.60 | not published |
| St. Joseph Medical Center | Tacoma | $75.07 | $163.19 – $169.99 |