Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$231.92
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.
$656.30
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.
$111.58 with CHPW vs $699.81 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 |
|---|---|---|---|
| CHPW | Medicaid|All Plans | $111.58 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $113.81 | ↓ -51% |
| United | Commercial|Cascade Care | $114.21 | ↓ -51% |
| SoundPath | Medicare|All Plans | $118.14 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $118.14 | ↓ -49% |
| Kaiser | Medicare|All Plans | $118.14 | ↓ -49% |
| United | Medicaid|All Plans | $118.27 | ↓ -49% |
| Molina | Medicaid|All Plans | $118.86 | ↓ -49% |
| Optum | Medicare|All Plans | $119.32 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $121.68 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $121.68 | ↓ -48% |
| CHPW | Medicare|All Plans | $124.05 | ↓ -47% |
| Humana | Medicare|All Plans | $126.41 | ↓ -45% |
| Molina | Medicare|All Plans | $127.59 | ↓ -45% |
| United | Medicare|All Plans | $133.47 | ↓ -42% |
| WellPoint | Medicaid|All Plans | $135.86 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $135.86 | ↓ -41% |
| Aetna | Medicare|All Plans | $144.39 | ↓ -38% |
| BCBS - Regence | Commercial|All Plans | $166.85 | ↓ -28% |
| United | Commercial|Navigate | $179.03 | ↓ -23% |
| United | Commercial|All Other Plans | $188.45 | ↓ -19% |
| Uniform Medical Plan | Commercial|All Plans | $200.22 | ↓ -14% |
| Coordinated Care | Commercial|Ambetter Exchange | $218.55 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $224.46 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $226.82 | ↓ -2% |
| Aetna | Commercial|AWH | $262.52 | ↑ +13% |
| BCBS - Premera | Commercial|All Plans | $281.00 | ↑ +21% |
| Aetna | Commercial|All Other Plans | $315.03 | ↑ +36% |
| Cigna | Commercial|All Plans | $328.15 | ↑ +41% |
| Aetna | Commercial|Rental | $472.54 | ↑ +104% |
| First Choice | Commercial|All Plans | $492.23 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $590.67 | ↑ +155% |
| Aetna | Commercial|WEA | $699.81 | ↑ +202% |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Holy Family Hospital | Spokane | $45.50 | $146.82 – $146.82 |
| MultiCare Valley Hospital | Spokane Valley | $74.40 | $18.36 – $240.26 |
| St. Michael Medical Center | Silverdale | $289.66 | $137.83 – $590.67 |
| St. Anne Hospital | Burien | $200.41 | $100.81 – $590.67 |
| St. Anthony Hospital | Gig Harbor | $199.62 | $111.58 – $492.23 |
| MultiCare Auburn Medical Center | Auburn | $137.20 | $18.78 – $224.80 |
| MultiCare Good Samaritan Hospital | Puyallup | $137.20 | $19.21 – $224.80 |
| St. Joseph Medical Center | Tacoma | $217.37 | $78.76 – $492.23 |