St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ghs removal intranasal foreign body CPT 30300 | $201.83 | $571.14 | $97.10 – $514.03 | 17 |
| Ghs removal pharyngeal foreign body CPT 42809 | $182.83 | $517.39 | $87.96 – $465.66 | 17 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $3,903.19 – $3,903.19 | 1 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $86.59 | $245.02 | $15.89 – $220.52 | 19 |
| Ghs reticulocyte count CPT 85044 | $38.39 | $108.62 | $4.31 – $97.76 | 19 |
| Ghs sedimentation rate CPT 85651 | $25.57 | $72.35 | $4.27 – $65.12 | 19 |
| Ghs semen analysis fert CPT 89320 | $108.05 | $305.75 | $12.31 – $275.18 | 19 |
| Ghs sensitivity (per antimicro) CPT 87184 | $38.02 | $107.58 | $7.48 – $96.83 | 19 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $440.01 | $1,245.20 | $211.69 – $1,120.68 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $440.01 | $1,245.20 | $211.69 – $1,120.68 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $448.32 | $1,268.70 | $215.68 – $1,141.83 | 17 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $448.32 | $1,268.70 | $215.68 – $1,141.83 | 17 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $435.87 | $1,233.46 | $209.69 – $1,110.12 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $435.87 | $1,233.46 | $209.69 – $1,110.12 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $435.87 | $1,233.46 | $209.69 – $1,110.12 | 17 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $489.83 | $1,386.17 | $235.65 – $1,247.56 | 17 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $489.83 | $1,386.17 | $235.65 – $1,247.56 | 17 |
| Ghs somatosensory testing lower extremit CPT 95926 | $429.67 | $1,215.93 | $206.71 – $1,094.34 | 17 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $627.25 | $1,775.06 | $301.77 – $1,597.56 | 17 |
| Ghs sphenopalatine ganglion block CPT 64505 | $417.95 | $1,182.77 | $201.08 – $1,064.50 | 17 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $315.92 – $413.33 | 2 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $142.74 | $403.92 | $68.67 – $363.53 | 17 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $334.30 | $946.03 | $160.83 – $851.43 | 17 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $301.73 | $853.86 | $145.16 – $768.48 | 17 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $265.52 | $751.40 | $127.74 – $676.26 | 17 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,254.65 | $3,550.57 | $603.60 – $3,195.52 | 17 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $265.71 | $751.93 | $127.83 – $676.74 | 17 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $563.25 – $563.25 | 1 |
| Ghs urine, porphyrins quant CPT 84120 | $48.64 | $137.64 | $14.71 – $123.88 | 19 |
| Ghs vaginal delivery only CPT 59409 | $4,949.25 | $14,006.06 | $1,070.86 – $5,669.21 | 17 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $974.54 | $2,757.88 | $468.84 – $2,482.10 | 17 |
| Ghs windowing of cast CPT 29730 | $190.89 | $540.19 | $91.84 – $486.18 | 17 |
| Gi inhouse confirmation CPT 87045 | $60.13 | $170.15 | $9.44 – $153.14 | 19 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $7,741.04 – $7,741.04 | 1 |
| Gjb2 gene full sequence CPT 81252 | $634.89 | $1,796.69 | $101.12 – $1,617.03 | 19 |
| Glassia injection HCPCS J0257 | $7,669.99 | $21,705.60 | $4.82 – $19,535.04 | 18 |
| Glaucoma surgery CPT 66150 | not published | not published | $10,871.57 – $10,871.57 | 1 |
| Glaucoma surgery CPT 66155 | not published | not published | $10,871.57 – $10,871.57 | 1 |
| Glaucoma surgery CPT 66160 | not published | not published | $5,875.62 – $5,875.62 | 1 |
| Glaucoma surgery CPT 66170 | not published | not published | $5,875.62 – $5,875.62 | 1 |
| Glove finger flexion right lg xl HCPCS L3912 | $67.60 | $191.30 | $32.53 – $172.17 | 19 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,233.25 | $3,490.00 | $148.33 – $785.25 | 18 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $6,166.21 | $17,450.00 | $90.44 – $478.80 | 18 |
| Glucagon plasma - sendout CPT 82943 | $126.39 | $357.65 | $14.29 – $321.89 | 19 |
| Glucose 1 hr post dose CPT 82950 | $37.44 | $105.95 | $4.75 – $95.36 | 19 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $88.07 | $249.22 | $6.05 – $224.30 | 19 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $24.66 | $69.78 | $3.28 – $62.81 | 19 |
| Glucose blood quantitative CPT 82947 | $39.41 | $111.52 | $3.93 – $100.37 | 19 |
| Glucose body fluid CPT 82945 | $23.92 | $67.67 | $3.93 – $60.91 | 19 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $71.71 | $202.91 | $34.50 – $182.62 | 17 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $37.44 | $105.95 | $12.87 – $95.36 | 19 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $18.48 | $52.29 | $3.92 – $47.07 | 19 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $349.84 | $990.00 | $18.13 – $95.94 | 18 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $12,690.47 | $35,913.25 | $14.15 – $8,487.90 | 18 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $99.05 | $280.29 | $18.58 – $252.27 | 19 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $92.65 | $262.19 | $18.52 – $235.98 | 19 |
| Goniotomy CPT 65820 | not published | not published | $10,871.57 – $10,871.57 | 1 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $3,456.62 | $9,782.00 | $497.72 – $2,934.90 | 18 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,198.16 | $9,050.59 | $41.01 – $4,525.30 | 18 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $20,317.70 | $57,497.85 | $250.62 – $1,326.80 | 18 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $8,099.19 – $8,099.19 | 1 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $27,928.05 | $79,034.70 | $85.68 – $453.60 | 18 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $30,100.29 | $85,182.00 | $31.38 – $166.11 | 18 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $53,907.73 | $152,555.64 | $122.26 – $647.24 | 18 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $13,951.49 | $39,481.86 | $104.83 – $1,597.17 | 18 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $10,354.71 – $10,354.71 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $17,558.50 | $49,689.50 | $93.18 – $1,368.24 | 18 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $35,423.02 | $100,245.02 | $1,363.63 – $7,219.18 | 18 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $6,183.10 | $17,497.80 | $2,974.63 – $15,748.02 | 18 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $44,438.06 | $125,757.03 | $29.82 – $157.86 | 18 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,871.30 | $8,125.58 | $56.48 – $298.99 | 18 |
| Granisetron 1 mg tab HCPCS Q0166 | $189.13 | $535.20 | $45.50 – $240.84 | 17 |
| Granisetron hcl injection HCPCS J1626 | $207.18 | $586.30 | $0.36 – $142.02 | 18 |
| Great toe-hand transfer CPT 26551 | not published | not published | $31,848.21 – $31,848.21 | 1 |
| Great toe with reduction 28495 CPT 28495 | $249.63 | $706.43 | $120.10 – $635.79 | 17 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $4,695.89 – $4,695.89 | 1 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $8,851.20 – $8,851.20 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $8,851.20 – $8,851.20 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $23.51 | $66.53 | $11.32 – $59.88 | 18 |
| Growth hormone antibody CPT 86277 | $84.59 | $239.38 | $15.74 – $215.45 | 19 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $18,086.24 – $18,086.24 | 1 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $12,115.72 – $12,115.72 | 1 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $15,225.62 – $15,225.62 | 1 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $17,025.05 – $17,025.05 | 1 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,435.53 – $11,363.00 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $4,738.69 – $4,738.69 | 1 |
| G-tube reposition CPT 43761 | $432.24 | $1,223.19 | $207.95 – $1,100.88 | 17 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,273.12 | $3,602.83 | $204.25 – $3,473.07 | 18 |
| Guided cath fluid drainage 10030 CPT 10030 | $458.65 | $1,297.94 | $220.65 – $1,168.15 | 17 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $62,708.93 | $177,462.50 | $5.13 – $27.16 | 18 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,755.85 | $4,968.95 | $45.86 – $242.77 | 18 |
| Guid loc target vol rad tx CPT 77387 | $526.98 | $1,491.31 | $87.50 – $1,342.18 | 18 |
| Gum graft CPT 41870 | not published | not published | $3,776.99 – $3,776.99 | 1 |
| Gw stiffened micro access kit HCPCS C1894 | $3,511.70 | $9,937.90 | $7.55 – $39.94 | 18 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $9,353.91 – $9,353.91 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $1,580.71 – $1,580.71 | 1 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $1,015.09 – $1,015.09 | 1 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $1,015.09 – $1,015.09 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $217.85 | $616.50 | $5.11 – $77.08 | 18 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.