Conversion ext bil drg cath at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,607.23
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.
$4,548.34
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.
$773.22 with CHPW vs $16,415.00 with Cigna — 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 | $773.22 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $788.69 | ↓ -51% |
| SoundPath | Medicare|All Plans | $818.71 | ↓ -49% |
| Kaiser | Medicare|All Plans | $818.71 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $818.71 | ↓ -49% |
| United | Medicaid|All Plans | $819.62 | ↓ -49% |
| Molina | Medicaid|All Plans | $823.71 | ↓ -49% |
| Optum | Medicare|All Plans | $826.89 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $843.27 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $843.27 | ↓ -48% |
| CHPW | Medicare|All Plans | $859.64 | ↓ -47% |
| Humana | Medicare|All Plans | $876.02 | ↓ -45% |
| Molina | Medicare|All Plans | $884.20 | ↓ -45% |
| United | Medicare|All Plans | $884.20 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $941.51 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $941.51 | ↓ -41% |
| Aetna | Medicare|All Plans | $1,000.64 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,514.60 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $1,555.54 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $1,571.91 | ↓ -2% |
| Aetna | Commercial|AWH | $1,819.34 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $2,183.21 | ↑ +36% |
| Aetna | Commercial|Rental | $3,274.81 | ↑ +104% |
| First Choice | Commercial|All Plans | $3,411.26 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $4,093.51 | ↑ +155% |
| Uniform Medical Plan | Commercial|All Plans | $8,550.38 | ↑ +432% |
| United | Commercial|Navigate | $8,801.75 | ↑ +448% |
| United | Commercial|All Other Plans | $9,265.00 | ↑ +476% |
| Kaiser | Commercial|HMO | $9,637.24 | ↑ +500% |
| BCBS - Regence | Commercial|All Plans | $9,804.30 | ↑ +510% |
| United | Commercial|Cascade Care | $10,078.00 | ↑ +527% |
| Kaiser | Commercial|PPO | $10,601.70 | ↑ +560% |
| BCBS - Premera | Commercial|All Plans | $14,641.54 | ↑ +811% |
| Cigna | Commercial|All Plans | $16,415.00 | ↑ +921% |
Visitor-reported prices
Comments
Conversion ext bil drg cath at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $6,818.00 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $10,097.28 | $4,146.07 – $15,142.49 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $3,220.00 | $3,989.80 – $10,154.04 |
| Swedish Medical Center Cherry Hill | Seattle | $10,097.28 | $4,146.07 – $14,582.80 |
| Swedish Issaquah | Issaquah | $10,097.28 | $4,157.70 – $15,142.49 |
| Providence Centralia Hospital | Centralia | $7,400.12 | $4,146.07 – $18,189.64 |
| Providence Mount Carmel Hospital | Colville | $8,197.00 | not published |
| Providence St Mary Medical Center | Walla Walla | $4,740.40 | $3,065.60 – $7,381.13 |