Annual Physical, New Patient (age 18-39) at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$200.02
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.
$566.04
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.
$51.71 with CHPW vs $934.14 with Aetna — 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 | $51.71 | ↓ -74% |
| Coordinated Care | Medicaid|All Plans | $52.74 | ↓ -74% |
| SoundPath | Medicare|All Plans | $54.75 | ↓ -73% |
| Kaiser | Medicare|All Plans | $54.75 | ↓ -73% |
| Amerigroup | Medicare|All Plans | $54.75 | ↓ -73% |
| United | Medicaid|All Plans | $54.81 | ↓ -73% |
| Molina | Medicaid|All Plans | $55.08 | ↓ -72% |
| Optum | Medicare|All Plans | $55.30 | ↓ -72% |
| BCBS - Premera | Medicare|All Plans | $56.39 | ↓ -72% |
| BCBS - Regence | Medicare|All Plans | $56.39 | ↓ -72% |
| CHPW | Medicare|All Plans | $57.49 | ↓ -71% |
| Humana | Medicare|All Plans | $58.58 | ↓ -71% |
| United | Medicare|All Plans | $59.13 | ↓ -70% |
| Molina | Medicare|All Plans | $59.13 | ↓ -70% |
| Seattle Medical Group | Medicare|All Plans | $62.96 | ↓ -69% |
| WellPoint | Medicaid|All Plans | $62.96 | ↓ -69% |
| Aetna | Medicare|All Plans | $66.92 | ↓ -67% |
| Coordinated Care | Commercial|Ambetter Exchange | $101.28 | ↓ -49% |
| Sound Family Medicine | Commercial|All Plans | $104.02 | ↓ -48% |
| Molina | Commercial|Marketplace Exchange | $105.12 | ↓ -47% |
| Aetna | Commercial|AWH | $121.66 | ↓ -39% |
| Aetna | Commercial|All Other Plans | $145.99 | ↓ -27% |
| BCBS - Regence | Commercial|All Plans | $161.03 | ↓ -19% |
| Uniform Medical Plan | Commercial|All Plans | $193.23 | ↓ -3% |
| Aetna | Commercial|Rental | $218.99 | ↑ +9% |
| Cigna | Commercial|All Plans | $221.00 | ↑ +10% |
| First Choice | Commercial|All Plans | $228.11 | ↑ +14% |
| MultiPlan | Commercial|All Plans | $273.73 | ↑ +37% |
| Aetna | Commercial|WEA | $934.14 | ↑ +367% |
Visitor-reported prices
Comments
Annual Physical, New Patient (age 18-39) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Edmonds Hospital | Edmonds | $70.08 | not published |
| St. Michael Medical Center | Silverdale | $249.83 | $161.03 – $273.73 |
| St. Anne Hospital | Burien | $172.85 | $130.79 – $273.73 |
| St. Anthony Hospital | Gig Harbor | $172.17 | $161.03 – $228.11 |
| St. Joseph Medical Center | Tacoma | $187.48 | $161.03 – $228.11 |
| St. Francis Hospital | Federal Way | $177.64 | $161.03 – $228.11 |
| St. Clare Hospital | Lakewood | $163.16 | $161.03 – $228.11 |
| Kadlec Regional Medical Center | Richland | not published | $160.95 – $160.95 |