Consultation/report referred material w/preparation of slides at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$111.84
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.
$316.48
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.
$49.18 with Cigna vs $284.84 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $49.18 | ↓ -56% |
| CHPW | Medicaid|All Plans | $53.81 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $54.88 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $56.97 | ↓ -49% |
| SoundPath | Medicare|All Plans | $56.97 | ↓ -49% |
| Kaiser | Medicare|All Plans | $56.97 | ↓ -49% |
| United | Medicaid|All Plans | $57.03 | ↓ -49% |
| Molina | Medicaid|All Plans | $57.32 | ↓ -49% |
| Optum | Medicare|All Plans | $57.54 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $58.68 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $58.68 | ↓ -48% |
| CHPW | Medicare|All Plans | $59.82 | ↓ -47% |
| Humana | Medicare|All Plans | $60.96 | ↓ -45% |
| Molina | Medicare|All Plans | $61.53 | ↓ -45% |
| United | Medicare|All Plans | $61.53 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $65.52 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $65.52 | ↓ -41% |
| Aetna | Medicare|All Plans | $69.63 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $105.39 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $108.24 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $109.38 | ↓ -2% |
| Aetna | Commercial|AWH | $126.60 | ↑ +13% |
| Uniform Medical Plan | Commercial|All Plans | $133.92 | ↑ +20% |
| Kaiser | Commercial|HMO | $136.43 | ↑ +22% |
| Kaiser | Commercial|PPO | $150.08 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $151.92 | ↑ +36% |
| BCBS - Regence | Commercial|All Plans | $153.56 | ↑ +37% |
| United | Commercial|Cascade Care | $155.08 | ↑ +39% |
| United | Commercial|Navigate | $155.08 | ↑ +39% |
| United | Commercial|All Other Plans | $164.57 | ↑ +47% |
| First Choice | Commercial|All Plans | $217.18 | ↑ +94% |
| Aetna | Commercial|Rental | $227.87 | ↑ +104% |
| BCBS - Premera | Commercial|All Plans | $229.31 | ↑ +105% |
| MultiPlan | Commercial|All Plans | $284.84 | ↑ +155% |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $91.70 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $684.48 | $56.82 – $232.51 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $506.80 | $58.07 – $178.09 |
| Swedish Medical Center Cherry Hill | Seattle | $684.48 | $56.82 – $225.09 |
| Swedish Issaquah | Issaquah | $684.48 | $56.82 – $232.51 |
| Central Medical Center | Seattle | $339.20 | $149.00 – $149.00 |
| Providence Mount Carmel Hospital | Colville | $58.80 | not published |
| Swedish Edmonds Hospital | Edmonds | $684.48 | $56.64 – $222.62 |