Cllr miami j sm at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$113.91
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.
$322.34
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.
$43.07 with CHPW vs $1,608.05 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 | $43.07 | ↓ -62% |
| Coordinated Care | Medicaid|All Plans | $43.94 | ↓ -61% |
| Amerigroup | Medicare|All Plans | $45.61 | ↓ -60% |
| SoundPath | Medicare|All Plans | $45.61 | ↓ -60% |
| Kaiser | Medicare|All Plans | $45.61 | ↓ -60% |
| United | Medicaid|All Plans | $45.66 | ↓ -60% |
| Molina | Medicaid|All Plans | $45.89 | ↓ -60% |
| Optum | Medicare|All Plans | $46.06 | ↓ -60% |
| BCBS - Regence | Medicare|All Plans | $46.98 | ↓ -59% |
| BCBS - Premera | Medicare|All Plans | $46.98 | ↓ -59% |
| CHPW | Medicare|All Plans | $47.89 | ↓ -58% |
| Humana | Medicare|All Plans | $48.80 | ↓ -57% |
| United | Medicare|All Plans | $49.26 | ↓ -57% |
| Molina | Medicare|All Plans | $49.26 | ↓ -57% |
| WellPoint | Medicaid|All Plans | $52.45 | ↓ -54% |
| Seattle Medical Group | Medicare|All Plans | $52.45 | ↓ -54% |
| Aetna | Medicare|All Plans | $55.74 | ↓ -51% |
| Coordinated Care | Commercial|Ambetter Exchange | $84.37 | ↓ -26% |
| Sound Family Medicine | Commercial|All Plans | $86.65 | ↓ -24% |
| Molina | Commercial|Marketplace Exchange | $87.56 | ↓ -23% |
| Aetna | Commercial|AWH | $101.34 | ↓ -11% |
| Aetna | Commercial|All Other Plans | $121.61 | ↑ +7% |
| United | Commercial|Navigate | $124.15 | ↑ +9% |
| United | Commercial|Cascade Care | $124.15 | ↑ +9% |
| Cigna | Commercial|All Plans | $126.68 | ↑ +11% |
| United | Commercial|All Other Plans | $131.75 | ↑ +16% |
| Aetna | Commercial|Rental | $182.42 | ↑ +60% |
| First Choice | Commercial|All Plans | $190.02 | ↑ +67% |
| MultiPlan | Commercial|All Plans | $228.02 | ↑ +100% |
| BCBS - Premera | Commercial|All Plans | $253.35 | ↑ +122% |
| BCBS - Regence | Commercial|All Plans | $317.61 | ↑ +179% |
| Uniform Medical Plan | Commercial|All Plans | $317.61 | ↑ +179% |
| Kaiser | Commercial|HMO | $842.28 | ↑ +639% |
| Kaiser | Commercial|PPO | $926.57 | ↑ +713% |
| Aetna | Commercial|WEA | $1,608.05 | ↑ +1312% |
Visitor-reported prices
Comments
Cllr miami j sm at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $783.14 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $683.13 | $331.73 – $1,007.80 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $825.21 | $331.73 – $844.25 |
| Swedish Medical Center Cherry Hill | Seattle | $683.13 | $331.73 – $811.26 |
| Swedish Issaquah | Issaquah | $683.13 | $331.73 – $736.44 |
| Providence Centralia Hospital | Centralia | $1,014.70 | $331.73 – $627.37 |
| Providence Mount Carmel Hospital | Colville | $783.14 | not published |
| Swedish Edmonds Hospital | Edmonds | $683.13 | $331.73 – $1,081.68 |