Transcath closure of vsd at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$7,340.35
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.
$20,772.73
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.
$3,531.37 with CHPW vs $74,209.87 with BCBS - Premera — 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 | $3,531.37 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $3,602.00 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $3,739.10 | ↓ -49% |
| SoundPath | Medicare|All Plans | $3,739.10 | ↓ -49% |
| Kaiser | Medicare|All Plans | $3,739.10 | ↓ -49% |
| United | Medicaid|All Plans | $3,743.25 | ↓ -49% |
| Molina | Medicaid|All Plans | $3,761.95 | ↓ -49% |
| Optum | Medicare|All Plans | $3,776.49 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $3,851.27 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $3,851.27 | ↓ -48% |
| CHPW | Medicare|All Plans | $3,926.05 | ↓ -47% |
| Humana | Medicare|All Plans | $4,000.83 | ↓ -45% |
| United | Medicare|All Plans | $4,038.22 | ↓ -45% |
| Molina | Medicare|All Plans | $4,038.22 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $4,299.96 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $4,299.96 | ↓ -41% |
| Aetna | Medicare|All Plans | $4,570.01 | ↓ -38% |
| Cigna | Commercial|All Plans | $6,725.00 | ↓ -8% |
| Coordinated Care | Commercial|Ambetter Exchange | $6,917.32 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $7,104.28 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $7,179.06 | ↓ -2% |
| Aetna | Commercial|AWH | $8,309.10 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $9,970.92 | ↑ +36% |
| Aetna | Commercial|Rental | $14,956.37 | ↑ +104% |
| First Choice | Commercial|All Plans | $15,579.55 | ↑ +112% |
| United | Commercial|Navigate | $16,999.30 | ↑ +132% |
| United | Commercial|All Other Plans | $17,894.00 | ↑ +144% |
| MultiPlan | Commercial|All Plans | $18,695.46 | ↑ +155% |
| United | Commercial|Cascade Care | $19,464.00 | ↑ +165% |
| Uniform Medical Plan | Commercial|All Plans | $43,337.09 | ↑ +490% |
| Kaiser | Commercial|HMO | $46,738.53 | ↑ +537% |
| BCBS - Regence | Commercial|All Plans | $49,692.55 | ↑ +577% |
| Kaiser | Commercial|PPO | $51,415.99 | ↑ +600% |
| BCBS - Premera | Commercial|All Plans | $74,209.87 | ↑ +911% |
Visitor-reported prices
Comments
Transcath closure of vsd at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $23,036.64 | $21,227.85 – $77,627.65 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $24,689.00 | $20,427.76 – $51,988.64 |
| Swedish Medical Center Cherry Hill | Seattle | $23,036.64 | $21,227.85 – $74,758.46 |
| Swedish Issaquah | Issaquah | $23,036.64 | $16,968.00 – $77,627.65 |
| MultiCare Valley Hospital | Spokane Valley | $24,746.40 | $6,855.87 – $76,440.32 |
| St. Michael Medical Center | Silverdale | $9,168.01 | $13,086.82 – $80,958.03 |
| St. Anne Hospital | Burien | $6,343.07 | $8,932.28 – $18,695.46 |
| St. Anthony Hospital | Gig Harbor | $6,318.00 | $14,956.37 – $46,738.53 |