Vein x-ray spleen/liver at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,600.14
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.
$4,528.28
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.
$204.25 with United vs $13,489.69 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 |
|---|---|---|---|
| United | Commercial|Navigate | $204.25 | ↓ -87% |
| United | Commercial|Cascade Care | $207.00 | ↓ -87% |
| United | Commercial|All Other Plans | $215.00 | ↓ -87% |
| CHPW | Medicaid|All Plans | $769.81 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $785.21 | ↓ -51% |
| SoundPath | Medicare|All Plans | $815.10 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $815.10 | ↓ -49% |
| Kaiser | Medicare|All Plans | $815.10 | ↓ -49% |
| United | Medicaid|All Plans | $816.00 | ↓ -49% |
| Molina | Medicaid|All Plans | $820.08 | ↓ -49% |
| Optum | Medicare|All Plans | $823.25 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $839.55 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $839.55 | ↓ -48% |
| CHPW | Medicare|All Plans | $855.85 | ↓ -47% |
| Humana | Medicare|All Plans | $872.15 | ↓ -45% |
| United | Medicare|All Plans | $880.30 | ↓ -45% |
| Molina | Medicare|All Plans | $880.30 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $937.36 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $937.36 | ↓ -41% |
| Aetna | Medicare|All Plans | $996.23 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,507.92 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $1,548.68 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $1,564.98 | ↓ -2% |
| Aetna | Commercial|AWH | $1,811.32 | ↑ +13% |
| Cigna | Commercial|All Plans | $2,013.30 | ↑ +26% |
| Aetna | Commercial|All Other Plans | $2,173.58 | ↑ +36% |
| Aetna | Commercial|Rental | $3,260.37 | ↑ +104% |
| First Choice | Commercial|All Plans | $3,396.21 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $4,075.46 | ↑ +155% |
| Uniform Medical Plan | Commercial|All Plans | $7,877.70 | ↑ +392% |
| Kaiser | Commercial|HMO | $8,105.48 | ↑ +407% |
| Kaiser | Commercial|PPO | $8,916.65 | ↑ +457% |
| BCBS - Regence | Commercial|All Plans | $9,032.98 | ↑ +465% |
| BCBS - Premera | Commercial|All Plans | $13,489.69 | ↑ +743% |
Visitor-reported prices
Comments
Vein x-ray spleen/liver at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $4,635.40 | $3,518.52 – $8,954.64 |
| Central Medical Center | Seattle | $10,880.00 | $3,148.00 – $3,148.00 |
| Kadlec Regional Medical Center | Richland | $2,518.60 | $735.49 – $6,509.26 |
| Providence Holy Family Hospital | Spokane | $10,756.20 | $3,518.52 – $14,113.93 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $4,772.04 | $3,595.75 – $11,578.53 |
| St. Michael Medical Center | Silverdale | $1,998.55 | $2,852.82 – $14,039.89 |
| St. Anne Hospital | Burien | $1,382.74 | $1,947.17 – $11,476.46 |
| St. Anthony Hospital | Gig Harbor | $1,377.28 | $2,013.30 – $10,808.75 |