Complx repair enel addl 5cm/< 13153 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$387.20
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.
$1,095.75
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.
$186.28 with CHPW vs $2,077.00 with United — 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 | $186.28 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $190.01 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $197.24 | ↓ -49% |
| SoundPath | Medicare|All Plans | $197.24 | ↓ -49% |
| Kaiser | Medicare|All Plans | $197.24 | ↓ -49% |
| United | Medicaid|All Plans | $197.46 | ↓ -49% |
| Molina | Medicaid|All Plans | $198.45 | ↓ -49% |
| Optum | Medicare|All Plans | $199.21 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $203.16 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $203.16 | ↓ -48% |
| CHPW | Medicare|All Plans | $207.10 | ↓ -47% |
| Humana | Medicare|All Plans | $211.05 | ↓ -45% |
| Molina | Medicare|All Plans | $213.02 | ↓ -45% |
| United | Medicare|All Plans | $213.02 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $226.83 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $226.83 | ↓ -41% |
| Aetna | Medicare|All Plans | $241.07 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $364.89 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $374.75 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $378.70 | ↓ -2% |
| Aetna | Commercial|AWH | $438.30 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $525.96 | ↑ +36% |
| Aetna | Commercial|Rental | $788.94 | ↑ +104% |
| First Choice | Commercial|All Plans | $821.82 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $986.18 | ↑ +155% |
| United | Commercial|Navigate | $1,814.50 | ↑ +369% |
| United | Commercial|All Other Plans | $1,910.00 | ↑ +393% |
| United | Commercial|Cascade Care | $2,077.00 | ↑ +436% |
Visitor-reported prices
Comments
Complx repair enel addl 5cm/< 13153 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $291.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $480.48 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $406.00 | $18,229.00 – $18,229.00 |
| Swedish Medical Center Cherry Hill | Seattle | $480.48 | not published |
| Swedish Issaquah | Issaquah | $480.48 | $11,210.00 – $11,210.00 |
| Providence Mount Carmel Hospital | Colville | $347.90 | not published |
| Providence St Mary Medical Center | Walla Walla | $1,167.60 | $16,398.00 – $16,398.00 |
| Kadlec Regional Medical Center | Richland | $1,416.80 | $229.48 – $229.48 |