Tomosynthesis breast diagnostic left at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$113.75
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.
$321.89
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.
$24.14 with BCBS - Regence vs $228.19 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 |
|---|---|---|---|
| BCBS - Regence | Commercial|All Plans | $24.14 | ↓ -79% |
| Uniform Medical Plan | Commercial|All Plans | $28.97 | ↓ -75% |
| CHPW | Medicaid|All Plans | $35.01 | ↓ -69% |
| Coordinated Care | Medicaid|All Plans | $35.71 | ↓ -69% |
| Amerigroup | Medicare|All Plans | $37.07 | ↓ -67% |
| SoundPath | Medicare|All Plans | $37.07 | ↓ -67% |
| Kaiser | Medicare|All Plans | $37.07 | ↓ -67% |
| United | Medicaid|All Plans | $37.11 | ↓ -67% |
| Molina | Medicaid|All Plans | $37.29 | ↓ -67% |
| Optum | Medicare|All Plans | $37.44 | ↓ -67% |
| BCBS - Regence | Medicare|All Plans | $38.18 | ↓ -66% |
| BCBS - Premera | Medicare|All Plans | $38.18 | ↓ -66% |
| CHPW | Medicare|All Plans | $38.92 | ↓ -66% |
| BCBS - Premera | Commercial|All Plans | $39.50 | ↓ -65% |
| Humana | Medicare|All Plans | $39.66 | ↓ -65% |
| United | Medicare|All Plans | $40.03 | ↓ -65% |
| Molina | Medicare|All Plans | $40.03 | ↓ -65% |
| Seattle Medical Group | Medicare|All Plans | $42.62 | ↓ -63% |
| WellPoint | Medicaid|All Plans | $42.62 | ↓ -63% |
| Aetna | Medicare|All Plans | $45.30 | ↓ -60% |
| Cigna | Commercial|All Plans | $60.05 | ↓ -47% |
| Coordinated Care | Commercial|Ambetter Exchange | $68.57 | ↓ -40% |
| Sound Family Medicine | Commercial|All Plans | $70.42 | ↓ -38% |
| Molina | Commercial|Marketplace Exchange | $71.16 | ↓ -37% |
| Kaiser | Commercial|HMO | $79.31 | ↓ -30% |
| Aetna | Commercial|AWH | $82.36 | ↓ -28% |
| Kaiser | Commercial|PPO | $87.25 | ↓ -23% |
| Aetna | Commercial|All Other Plans | $98.83 | ↓ -13% |
| Aetna | Commercial|Rental | $148.25 | ↑ +30% |
| First Choice | Commercial|All Plans | $154.42 | ↑ +36% |
| United | Commercial|Cascade Care | $163.00 | ↑ +43% |
| United | Commercial|Navigate | $184.30 | ↑ +62% |
| MultiPlan | Commercial|All Plans | $185.31 | ↑ +63% |
| United | Commercial|All Other Plans | $194.00 | ↑ +71% |
| Aetna | Commercial|WEA | $228.19 | ↑ +101% |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left 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 | $145.44 | $10.70 – $48.00 |
| Swedish Medical Center Cherry Hill | Seattle | $145.44 | $10.70 – $75.79 |
| Swedish Issaquah | Issaquah | $145.44 | $10.70 – $48.00 |
| Central Medical Center | Seattle | $56.00 | $16.00 – $16.00 |
| Providence Centralia Hospital | Centralia | $156.52 | $13.37 – $105.98 |
| Providence St Mary Medical Center | Walla Walla | $41.30 | $13.37 – $24.73 |
| Kadlec Regional Medical Center | Richland | $45.50 | $13.37 – $46.74 |