Venogram ext bil s&i at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,155.88
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.
$3,271.07
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 $6,777.84 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 | ↓ -82% |
| United | Commercial|Cascade Care | $207.00 | ↓ -82% |
| United | Commercial|All Other Plans | $215.00 | ↓ -81% |
| Aetna | Commercial|AWH | $260.56 | ↓ -77% |
| Aetna | Commercial|All Other Plans | $306.54 | ↓ -73% |
| CHPW | Medicaid|All Plans | $556.09 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $567.21 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $588.80 | ↓ -49% |
| SoundPath | Medicare|All Plans | $588.80 | ↓ -49% |
| Kaiser | Medicare|All Plans | $588.80 | ↓ -49% |
| United | Medicaid|All Plans | $589.45 | ↓ -49% |
| Molina | Medicaid|All Plans | $592.40 | ↓ -49% |
| Optum | Medicare|All Plans | $594.69 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $606.46 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $606.46 | ↓ -48% |
| CHPW | Medicare|All Plans | $618.24 | ↓ -47% |
| Humana | Medicare|All Plans | $630.01 | ↓ -45% |
| United | Medicare|All Plans | $635.90 | ↓ -45% |
| Molina | Medicare|All Plans | $635.90 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $677.12 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $677.12 | ↓ -41% |
| Aetna | Medicare|All Plans | $719.64 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,089.27 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $1,118.71 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $1,130.49 | ↓ -2% |
| Cigna | Commercial|All Plans | $2,013.30 | ↑ +74% |
| Aetna | Commercial|Rental | $2,355.18 | ↑ +104% |
| First Choice | Commercial|All Plans | $2,453.31 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $2,943.97 | ↑ +155% |
| Uniform Medical Plan | Commercial|All Plans | $3,958.11 | ↑ +242% |
| Kaiser | Commercial|HMO | $4,048.29 | ↑ +250% |
| Kaiser | Commercial|PPO | $4,453.43 | ↑ +285% |
| BCBS - Regence | Commercial|All Plans | $4,538.57 | ↑ +293% |
| BCBS - Premera | Commercial|All Plans | $6,777.84 | ↑ +486% |
Visitor-reported prices
Comments
Venogram ext bil s&i at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $2,932.32 | $1,822.85 – $7,943.60 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,083.20 | $774.09 – $5,056.50 |
| Swedish Medical Center Cherry Hill | Seattle | $2,932.32 | $1,822.85 – $7,650.00 |
| Swedish Issaquah | Issaquah | $2,932.32 | $269.07 – $7,943.60 |
| Central Medical Center | Seattle | $5,360.00 | $1,554.00 – $1,554.00 |
| Providence St Mary Medical Center | Walla Walla | $3,082.80 | $411.43 – $3,245.18 |
| Kadlec Regional Medical Center | Richland | $1,808.80 | $228.91 – $6,051.49 |
| Providence Holy Family Hospital | Spokane | $3,570.70 | $359.11 – $5,485.17 |