Amp metatarsal w/toe single 28810 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5,920.00 with Cigna vs $13,698.54 with BCBS - Premera — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $5,920.00 | — |
| First Choice | Commercial|All Plans | $6,061.41 | — |
| United | Commercial|Navigate | $7,711.15 | — |
| Uniform Medical Plan | Commercial|All Plans | $7,999.67 | — |
| Kaiser | Commercial|HMO | $8,099.19 | — |
| United | Commercial|All Other Plans | $8,117.00 | — |
| United | Commercial|Cascade Care | $8,830.00 | — |
| Kaiser | Commercial|PPO | $8,909.74 | — |
| BCBS - Regence | Commercial|All Plans | $9,172.83 | — |
| BCBS - Premera | Commercial|All Plans | $13,698.54 | — |
| Amerigroup | Medicare|All Plans | not published by hospital | — |
| Humana | Medicare|All Plans | not published by hospital | — |
| Coordinated Care | Medicaid|All Plans | not published by hospital | — |
| Coordinated Care | Commercial|Ambetter Exchange | not published by hospital | — |
| WellPoint | Medicaid|All Plans | not published by hospital | — |
| BCBS - Premera | Medicare|All Plans | not published by hospital | — |
| BCBS - Regence | Medicare|All Plans | not published by hospital | — |
| CHPW | Medicaid|All Plans | not published by hospital | — |
| CHPW | Medicare|All Plans | not published by hospital | — |
| Seattle Medical Group | Medicare|All Plans | not published by hospital | — |
| Sound Family Medicine | Commercial|All Plans | not published by hospital | — |
| SoundPath | Medicare|All Plans | not published by hospital | — |
| Kaiser | Medicare|All Plans | not published by hospital | — |
| Optum | Medicare|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Aetna | Medicare|All Plans | not published by hospital | — |
| Aetna | Commercial|Rental | not published by hospital | — |
| Molina | Medicaid|All Plans | not published by hospital | — |
| Molina | Medicare|All Plans | not published by hospital | — |
| Molina | Commercial|Marketplace Exchange | not published by hospital | — |
| United | Medicaid|All Plans | not published by hospital | — |
| United | Medicare|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Amp metatarsal w/toe single 28810 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $5,730.20 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $6,486.90 | $3,646.14 – $9,279.41 |
| Central Medical Center | Seattle | $7,065.60 | not published |
| Providence Centralia Hospital | Centralia | $6,219.20 | $3,788.94 – $16,014.08 |
| Providence Mount Carmel Hospital | Colville | $6,889.40 | not published |
| Providence St Mary Medical Center | Walla Walla | $4,298.00 | $2,868.15 – $6,745.35 |
| Kadlec Regional Medical Center | Richland | $5,164.60 | $719.44 – $10,155.94 |
| Providence Holy Family Hospital | Spokane | $6,902.70 | $3,646.14 – $9,571.10 |