Ultrasound dx ophth b-scan at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$449.62
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.
$1,272.37
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.
$71.22 with Aetna vs $1,145.14 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 |
|---|---|---|---|
| Aetna | Commercial|AWH | $71.22 | ↓ -84% |
| Aetna | Commercial|All Other Plans | $83.79 | ↓ -81% |
| CHPW | Medicaid|All Plans | $216.31 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $220.63 | ↓ -51% |
| Kaiser | Medicare|All Plans | $229.03 | ↓ -49% |
| SoundPath | Medicare|All Plans | $229.03 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $229.03 | ↓ -49% |
| United | Medicaid|All Plans | $229.29 | ↓ -49% |
| Molina | Medicaid|All Plans | $230.43 | ↓ -49% |
| Optum | Medicare|All Plans | $231.32 | ↓ -49% |
| Cigna | Commercial|All Plans | $234.44 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $235.90 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $235.90 | ↓ -48% |
| CHPW | Medicare|All Plans | $240.48 | ↓ -47% |
| Humana | Medicare|All Plans | $245.06 | ↓ -45% |
| United | Medicare|All Plans | $247.35 | ↓ -45% |
| Molina | Medicare|All Plans | $247.35 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $263.39 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $263.39 | ↓ -41% |
| Uniform Medical Plan | Commercial|All Plans | $271.71 | ↓ -40% |
| Aetna | Medicare|All Plans | $279.93 | ↓ -38% |
| Kaiser | Commercial|HMO | $290.81 | ↓ -35% |
| BCBS - Regence | Commercial|All Plans | $311.56 | ↓ -31% |
| Kaiser | Commercial|PPO | $319.91 | ↓ -29% |
| United | Commercial|Navigate | $334.40 | ↓ -26% |
| United | Commercial|Cascade Care | $338.00 | ↓ -25% |
| United | Commercial|All Other Plans | $352.00 | ↓ -22% |
| Coordinated Care | Commercial|Ambetter Exchange | $423.70 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $435.16 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $439.74 | ↓ -2% |
| BCBS - Premera | Commercial|All Plans | $465.29 | ↑ +3% |
| First Choice | Commercial|All Plans | $504.66 | ↑ +12% |
| Aetna | Commercial|Rental | $916.11 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $1,145.14 | ↑ +155% |
Visitor-reported prices
Comments
Ultrasound dx ophth b-scan at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $617.28 | $121.06 – $526.78 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $231.70 | $116.50 – $403.49 |
| Swedish Medical Center Cherry Hill | Seattle | $617.28 | $121.06 – $509.96 |
| Swedish Issaquah | Issaquah | $617.28 | $73.22 – $526.78 |
| Central Medical Center | Seattle | $560.00 | $107.00 – $107.00 |
| Providence St Mary Medical Center | Walla Walla | $136.50 | $97.42 – $215.52 |
| Providence Holy Family Hospital | Spokane | $213.50 | $92.34 – $376.53 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $301.08 | $78.66 – $470.74 |