Brace knee hing pat open med at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$42.70
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.
$120.82
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.
$20.54 with CHPW vs $803.60 with Aetna — 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 |
|---|---|---|---|
| CHPW | Medicaid|All Plans | $20.54 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $20.96 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $21.75 | ↓ -49% |
| SoundPath | Medicare|All Plans | $21.75 | ↓ -49% |
| Kaiser | Medicare|All Plans | $21.75 | ↓ -49% |
| United | Medicaid|All Plans | $21.78 | ↓ -49% |
| Molina | Medicaid|All Plans | $21.89 | ↓ -49% |
| Optum | Medicare|All Plans | $21.97 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $22.41 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $22.41 | ↓ -48% |
| CHPW | Medicare|All Plans | $22.84 | ↓ -47% |
| Humana | Medicare|All Plans | $23.27 | ↓ -46% |
| United | Medicare|All Plans | $23.49 | ↓ -45% |
| Molina | Medicare|All Plans | $23.49 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $25.01 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $25.01 | ↓ -41% |
| Aetna | Medicare|All Plans | $26.59 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $40.24 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $41.33 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $41.76 | ↓ -2% |
| Aetna | Commercial|AWH | $48.33 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $58.00 | ↑ +36% |
| United | Commercial|Navigate | $59.21 | ↑ +39% |
| United | Commercial|Cascade Care | $59.21 | ↑ +39% |
| Cigna | Commercial|All Plans | $60.41 | ↑ +41% |
| United | Commercial|All Other Plans | $62.83 | ↑ +47% |
| Aetna | Commercial|Rental | $87.00 | ↑ +104% |
| First Choice | Commercial|All Plans | $90.62 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $108.74 | ↑ +155% |
| BCBS - Premera | Commercial|All Plans | $120.82 | ↑ +183% |
| BCBS - Regence | Commercial|All Plans | $158.71 | ↑ +272% |
| Uniform Medical Plan | Commercial|All Plans | $158.71 | ↑ +272% |
| Kaiser | Commercial|HMO | $420.90 | ↑ +886% |
| Kaiser | Commercial|PPO | $463.02 | ↑ +984% |
| Aetna | Commercial|WEA | $803.60 | ↑ +1782% |
Visitor-reported prices
Comments
Brace knee hing pat open med at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $62.63 | $165.77 – $503.61 |
| Swedish Medical Center Cherry Hill | Seattle | $62.63 | $165.77 – $405.39 |
| Swedish Issaquah | Issaquah | $62.63 | $165.77 – $368.01 |
| Swedish Edmonds Hospital | Edmonds | $62.63 | $165.77 – $540.52 |
| MultiCare Valley Hospital | Spokane Valley | $82.40 | $158.71 – $688.37 |
| St. Michael Medical Center | Silverdale | $53.33 | $76.12 – $729.05 |
| St. Anne Hospital | Burien | $36.90 | $51.96 – $518.50 |
| St. Anthony Hospital | Gig Harbor | $36.75 | $60.41 – $536.00 |