Tomosynthesis breast screen bilateral at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$100.86
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.
$285.40
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.
$29.96 with BCBS - Regence vs $256.86 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 |
|---|---|---|---|
| BCBS - Regence | Commercial|All Plans | $29.96 | ↓ -70% |
| Uniform Medical Plan | Commercial|All Plans | $35.96 | ↓ -64% |
| CHPW | Medicaid|All Plans | $48.52 | ↓ -52% |
| BCBS - Premera | Commercial|All Plans | $49.04 | ↓ -51% |
| Coordinated Care | Medicaid|All Plans | $49.49 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $51.38 | ↓ -49% |
| SoundPath | Medicare|All Plans | $51.38 | ↓ -49% |
| Kaiser | Medicare|All Plans | $51.38 | ↓ -49% |
| United | Medicaid|All Plans | $51.43 | ↓ -49% |
| Molina | Medicaid|All Plans | $51.69 | ↓ -49% |
| Optum | Medicare|All Plans | $51.89 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $52.92 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $52.92 | ↓ -48% |
| CHPW | Medicare|All Plans | $53.95 | ↓ -47% |
| Humana | Medicare|All Plans | $54.97 | ↓ -45% |
| Cigna | Commercial|All Plans | $55.07 | ↓ -45% |
| Molina | Medicare|All Plans | $55.49 | ↓ -45% |
| United | Medicare|All Plans | $55.49 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $59.08 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $59.08 | ↓ -41% |
| Aetna | Medicare|All Plans | $62.79 | ↓ -38% |
| Kaiser | Commercial|HMO | $79.31 | ↓ -21% |
| Kaiser | Commercial|PPO | $87.25 | ↓ -13% |
| Coordinated Care | Commercial|Ambetter Exchange | $95.04 | ↓ -6% |
| Aetna | Commercial|AWH | $95.36 | ↓ -5% |
| Sound Family Medicine | Commercial|All Plans | $97.61 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $98.64 | ↓ -2% |
| Aetna | Commercial|All Other Plans | $112.19 | ↑ +11% |
| United | Commercial|Cascade Care | $163.00 | ↑ +62% |
| United | Commercial|Navigate | $184.30 | ↑ +83% |
| United | Commercial|All Other Plans | $194.00 | ↑ +92% |
| Aetna | Commercial|Rental | $205.49 | ↑ +104% |
| First Choice | Commercial|All Plans | $214.05 | ↑ +112% |
| Aetna | Commercial|WEA | $228.19 | ↑ +126% |
| MultiPlan | Commercial|All Plans | $256.86 | ↑ +155% |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral 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 | $136.80 | $22.95 – $87.16 |
| Swedish Medical Center Cherry Hill | Seattle | $136.80 | $22.95 – $75.79 |
| Swedish Issaquah | Issaquah | $136.80 | $22.95 – $63.69 |
| Central Medical Center | Seattle | $120.00 | $24.00 – $24.00 |
| Providence Centralia Hospital | Centralia | $156.52 | $28.69 – $131.58 |
| Providence Mount Carmel Hospital | Colville | $71.40 | not published |
| Providence St Mary Medical Center | Walla Walla | $41.30 | $24.52 – $53.08 |