Chrom analysis at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$167.19
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.
$473.12
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.
$34.81 with Amerigroup vs $425.81 with MultiPlan — 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 |
|---|---|---|---|
| Amerigroup | Medicare|All Plans | $34.81 | ↓ -79% |
| Aetna | Medicare|All Plans | $34.81 | ↓ -79% |
| BCBS - Regence | Medicare|All Plans | $34.81 | ↓ -79% |
| Kaiser | Medicare|All Plans | $34.81 | ↓ -79% |
| United | Medicare|All Plans | $34.81 | ↓ -79% |
| SoundPath | Medicare|All Plans | $34.81 | ↓ -79% |
| Optum | Medicare|All Plans | $35.16 | ↓ -79% |
| BCBS - Premera | Medicare|All Plans | $35.85 | ↓ -79% |
| CHPW | Medicare|All Plans | $36.55 | ↓ -78% |
| BCBS - Regence | Commercial|All Plans | $36.55 | ↓ -78% |
| Humana | Medicare|All Plans | $37.25 | ↓ -78% |
| Molina | Medicare|All Plans | $37.59 | ↓ -78% |
| Seattle Medical Group | Medicare|All Plans | $40.03 | ↓ -76% |
| Uniform Medical Plan | Commercial|All Plans | $52.22 | ↓ -69% |
| BCBS - Premera | Commercial|All Plans | $52.22 | ↓ -69% |
| Cigna | Commercial|All Plans | $58.26 | ↓ -65% |
| Coordinated Care | Commercial|Ambetter Exchange | $64.40 | ↓ -61% |
| Sound Family Medicine | Commercial|All Plans | $66.14 | ↓ -60% |
| Molina | Commercial|Marketplace Exchange | $66.84 | ↓ -60% |
| CHPW | Medicaid|All Plans | $80.44 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $82.04 | ↓ -51% |
| United | Medicaid|All Plans | $85.26 | ↓ -49% |
| Molina | Medicaid|All Plans | $85.69 | ↓ -49% |
| WellPoint | Medicaid|All Plans | $97.94 | ↓ -41% |
| Aetna | Commercial|AWH | $161.26 | ↓ -4% |
| Aetna | Commercial|All Other Plans | $189.71 | ↑ +13% |
| United | Commercial|Navigate | $231.83 | ↑ +39% |
| United | Commercial|Cascade Care | $231.83 | ↑ +39% |
| First Choice | Commercial|All Plans | $232.10 | ↑ +39% |
| Aetna | Commercial|WEA | $238.15 | ↑ +42% |
| United | Commercial|All Other Plans | $246.03 | ↑ +47% |
| Aetna | Commercial|Rental | $340.65 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $425.81 | ↑ +155% |
Visitor-reported prices
Comments
Chrom analysis at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $140.16 | $31.33 – $163.61 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $279.30 | $34.81 – $125.32 |
| Swedish Medical Center Cherry Hill | Seattle | $140.16 | $31.33 – $158.39 |
| Swedish Issaquah | Issaquah | $140.16 | $31.33 – $163.61 |
| Central Medical Center | Seattle | $156.80 | $95.00 – $95.00 |
| Providence Mount Carmel Hospital | Colville | $445.20 | not published |
| Swedish Edmonds Hospital | Edmonds | $140.16 | $34.81 – $156.65 |
| Providence St Mary Medical Center | Walla Walla | $49.70 | $34.81 – $64.40 |