Aco cont gluc mnt phys/qhp eqp 95250aco at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$243.99
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.
$690.46
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.
$30.31 with CHPW vs $559.45 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 |
|---|---|---|---|
| CHPW | Medicaid|All Plans | $30.31 | ↓ -88% |
| Coordinated Care | Medicaid|All Plans | $30.91 | ↓ -87% |
| Amerigroup | Medicare|All Plans | $32.09 | ↓ -87% |
| SoundPath | Medicare|All Plans | $32.09 | ↓ -87% |
| Kaiser | Medicare|All Plans | $32.09 | ↓ -87% |
| United | Medicaid|All Plans | $32.13 | ↓ -87% |
| Molina | Medicaid|All Plans | $32.29 | ↓ -87% |
| Optum | Medicare|All Plans | $32.41 | ↓ -87% |
| BCBS - Regence | Medicare|All Plans | $33.05 | ↓ -86% |
| BCBS - Premera | Medicare|All Plans | $33.05 | ↓ -86% |
| CHPW | Medicare|All Plans | $33.69 | ↓ -86% |
| Humana | Medicare|All Plans | $34.34 | ↓ -86% |
| Molina | Medicare|All Plans | $34.66 | ↓ -86% |
| United | Medicare|All Plans | $34.66 | ↓ -86% |
| WellPoint | Medicaid|All Plans | $36.90 | ↓ -85% |
| Seattle Medical Group | Medicare|All Plans | $36.90 | ↓ -85% |
| Aetna | Medicare|All Plans | $39.22 | ↓ -84% |
| Coordinated Care | Commercial|Ambetter Exchange | $59.36 | ↓ -76% |
| United | Commercial|Cascade Care | $60.00 | ↓ -75% |
| Sound Family Medicine | Commercial|All Plans | $60.97 | ↓ -75% |
| Molina | Commercial|Marketplace Exchange | $61.61 | ↓ -75% |
| United | Commercial|Navigate | $68.40 | ↓ -72% |
| Aetna | Commercial|AWH | $71.30 | ↓ -71% |
| United | Commercial|All Other Plans | $72.00 | ↓ -70% |
| Aetna | Commercial|All Other Plans | $85.56 | ↓ -65% |
| Aetna | Commercial|Rental | $128.34 | ↓ -47% |
| First Choice | Commercial|All Plans | $133.69 | ↓ -45% |
| MultiPlan | Commercial|All Plans | $160.43 | ↓ -34% |
| Uniform Medical Plan | Commercial|All Plans | $326.70 | ↑ +34% |
| Kaiser | Commercial|HMO | $328.85 | ↑ +35% |
| Kaiser | Commercial|PPO | $361.76 | ↑ +48% |
| BCBS - Regence | Commercial|All Plans | $374.61 | ↑ +54% |
| BCBS - Premera | Commercial|All Plans | $559.45 | ↑ +129% |
Visitor-reported prices
Comments
Aco cont gluc mnt phys/qhp eqp 95250aco at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $96.00 | $154.17 – $544.87 |
| Swedish Medical Center Cherry Hill | Seattle | $96.00 | $154.17 – $486.91 |
| Swedish Issaquah | Issaquah | $96.00 | $154.60 – $544.87 |
| Swedish Edmonds Hospital | Edmonds | $96.00 | $151.62 – $475.31 |
| Providence St Mary Medical Center | Walla Walla | $809.90 | $117.13 – $274.47 |
| Kadlec Regional Medical Center | Richland | $554.40 | $148.36 – $453.29 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $104.00 | $151.62 – $486.91 |
| MultiCare Yakima Memorial Hospital | Yakima | $173.60 | $158.83 – $411.43 |