Consultation/report referred slides prepared elsewhere at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$161.71
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.
$457.61
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.
$77.80 with CHPW vs $411.85 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 |
|---|---|---|---|
| CHPW | Medicaid|All Plans | $77.80 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $79.35 | ↓ -51% |
| Kaiser | Medicare|All Plans | $82.37 | ↓ -49% |
| SoundPath | Medicare|All Plans | $82.37 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $82.37 | ↓ -49% |
| United | Medicaid|All Plans | $82.47 | ↓ -49% |
| Molina | Medicaid|All Plans | $82.88 | ↓ -49% |
| Optum | Medicare|All Plans | $83.20 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $84.85 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $84.85 | ↓ -48% |
| CHPW | Medicare|All Plans | $86.49 | ↓ -47% |
| Humana | Medicare|All Plans | $88.14 | ↓ -45% |
| Molina | Medicare|All Plans | $88.96 | ↓ -45% |
| United | Medicare|All Plans | $88.96 | ↓ -45% |
| Kaiser | Commercial|HMO | $92.40 | ↓ -43% |
| WellPoint | Medicaid|All Plans | $94.73 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $94.73 | ↓ -41% |
| Uniform Medical Plan | Commercial|All Plans | $99.11 | ↓ -39% |
| Aetna | Medicare|All Plans | $100.68 | ↓ -38% |
| First Choice | Commercial|All Plans | $100.77 | ↓ -38% |
| Kaiser | Commercial|PPO | $101.65 | ↓ -37% |
| BCBS - Regence | Commercial|All Plans | $113.65 | ↓ -30% |
| Cigna | Commercial|All Plans | $129.57 | ↓ -20% |
| Coordinated Care | Commercial|Ambetter Exchange | $152.39 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $156.51 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $158.16 | ↓ -2% |
| BCBS - Premera | Commercial|All Plans | $169.73 | ↑ +5% |
| Aetna | Commercial|AWH | $183.05 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $219.66 | ↑ +36% |
| United | Commercial|Cascade Care | $224.23 | ↑ +39% |
| United | Commercial|Navigate | $224.23 | ↑ +39% |
| United | Commercial|All Other Plans | $237.96 | ↑ +47% |
| Aetna | Commercial|Rental | $329.48 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $411.85 | ↑ +155% |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $301.00 | $41.62 – $120.35 |
| Central Medical Center | Seattle | $555.20 | $365.00 – $365.00 |
| Providence Holy Family Hospital | Spokane | $306.60 | $41.62 – $388.08 |
| MultiCare Yakima Memorial Hospital | Yakima | $205.20 | $44.56 – $124.82 |
| St. Michael Medical Center | Silverdale | $201.97 | $160.05 – $411.85 |
| St. Anne Hospital | Burien | $139.74 | $100.77 – $411.85 |
| St. Anthony Hospital | Gig Harbor | $139.19 | $59.10 – $343.21 |
| MultiCare Auburn Medical Center | Auburn | $236.40 | $25.55 – $179.28 |