Unlisted px male genital sys at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$265.94
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.
$752.59
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.
$0.70 with Cigna vs $2,077.00 with United — 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.70 | ↓ -100% |
| CHPW | Medicaid|All Plans | $127.95 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $130.50 | ↓ -51% |
| SoundPath | Medicare|All Plans | $135.47 | ↓ -49% |
| Kaiser | Medicare|All Plans | $135.47 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $135.47 | ↓ -49% |
| United | Medicaid|All Plans | $135.62 | ↓ -49% |
| Molina | Medicaid|All Plans | $136.30 | ↓ -49% |
| Optum | Medicare|All Plans | $136.83 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $139.54 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $139.54 | ↓ -48% |
| CHPW | Medicare|All Plans | $142.24 | ↓ -47% |
| Humana | Medicare|All Plans | $144.95 | ↓ -45% |
| Molina | Medicare|All Plans | $146.31 | ↓ -45% |
| United | Medicare|All Plans | $146.31 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $155.79 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $155.79 | ↓ -41% |
| Aetna | Medicare|All Plans | $165.57 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $250.62 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $257.39 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $260.10 | ↓ -2% |
| Aetna | Commercial|AWH | $301.04 | ↑ +13% |
| First Choice | Commercial|All Plans | $304.20 | ↑ +14% |
| Aetna | Commercial|All Other Plans | $361.25 | ↑ +36% |
| Aetna | Commercial|Rental | $541.87 | ↑ +104% |
| Kaiser | Commercial|HMO | $584.64 | ↑ +120% |
| Uniform Medical Plan | Commercial|All Plans | $610.81 | ↑ +130% |
| Kaiser | Commercial|PPO | $643.15 | ↑ +142% |
| MultiPlan | Commercial|All Plans | $677.34 | ↑ +155% |
| BCBS - Regence | Commercial|All Plans | $700.39 | ↑ +163% |
| BCBS - Premera | Commercial|All Plans | $1,045.93 | ↑ +293% |
| United | Commercial|Navigate | $1,814.50 | ↑ +582% |
| United | Commercial|All Other Plans | $1,910.00 | ↑ +618% |
| United | Commercial|Cascade Care | $2,077.00 | ↑ +681% |
Visitor-reported prices
Comments
Unlisted px male genital sys at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Michael Medical Center | Silverdale | $332.16 | $474.14 – $1,012.68 |
| St. Anne Hospital | Burien | $229.81 | $323.62 – $677.34 |
| St. Anthony Hospital | Gig Harbor | $228.90 | $541.87 – $584.64 |
| St. Joseph Medical Center | Tacoma | $249.26 | $541.87 – $584.64 |
| Virginia Mason Medical Center | Seattle | $513.57 | $185.45 – $789.60 |
| St. Francis Hospital | Federal Way | $236.19 | $541.87 – $584.64 |
| St. Clare Hospital | Lakewood | $216.93 | $541.87 – $584.64 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $278.42 – $306.26 |