Coombs direct at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$56.40
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.
$159.60
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.
$5.39 with Kaiser vs $258.84 with BCBS - Premera — 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $5.39 | ↓ -90% |
| BCBS - Regence | Medicare|All Plans | $5.39 | ↓ -90% |
| Amerigroup | Medicare|All Plans | $5.39 | ↓ -90% |
| United | Medicare|All Plans | $5.39 | ↓ -90% |
| SoundPath | Medicare|All Plans | $5.39 | ↓ -90% |
| Optum | Medicare|All Plans | $5.44 | ↓ -90% |
| BCBS - Premera | Medicare|All Plans | $5.55 | ↓ -90% |
| CHPW | Medicare|All Plans | $5.66 | ↓ -90% |
| Humana | Medicare|All Plans | $5.77 | ↓ -90% |
| Molina | Medicare|All Plans | $5.82 | ↓ -90% |
| Seattle Medical Group | Medicare|All Plans | $6.20 | ↓ -89% |
| Cigna | Commercial|All Plans | $9.76 | ↓ -83% |
| Coordinated Care | Commercial|Ambetter Exchange | $9.97 | ↓ -82% |
| Sound Family Medicine | Commercial|All Plans | $10.24 | ↓ -82% |
| Molina | Commercial|Marketplace Exchange | $10.35 | ↓ -82% |
| Aetna | Commercial|AWH | $24.97 | ↓ -56% |
| CHPW | Medicaid|All Plans | $27.14 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $27.68 | ↓ -51% |
| United | Medicaid|All Plans | $28.76 | ↓ -49% |
| Molina | Medicaid|All Plans | $28.91 | ↓ -49% |
| Aetna | Commercial|All Other Plans | $29.38 | ↓ -48% |
| WellPoint | Medicaid|All Plans | $33.04 | ↓ -41% |
| Aetna | Medicare|All Plans | $35.12 | ↓ -38% |
| First Choice | Commercial|All Plans | $45.43 | ↓ -19% |
| United | Commercial|Cascade Care | $78.21 | ↑ +39% |
| United | Commercial|Navigate | $78.21 | ↑ +39% |
| United | Commercial|All Other Plans | $83.00 | ↑ +47% |
| Aetna | Commercial|Rental | $114.92 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $143.64 | ↑ +155% |
| Uniform Medical Plan | Commercial|All Plans | $151.17 | ↑ +168% |
| Kaiser | Commercial|HMO | $156.40 | ↑ +177% |
| Kaiser | Commercial|PPO | $172.05 | ↑ +205% |
| BCBS - Regence | Commercial|All Plans | $173.34 | ↑ +207% |
| BCBS - Premera | Commercial|All Plans | $258.84 | ↑ +359% |
Visitor-reported prices
Comments
Coombs direct at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $72.45 | $23.80 – $72.31 |
| Providence St Joseph Hospital | Chewelah | $43.40 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $76.32 | $10.50 – $207.53 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $157.50 | $11.55 – $121.61 |
| Swedish Medical Center Cherry Hill | Seattle | $76.32 | $10.50 – $159.85 |
| Swedish Issaquah | Issaquah | $76.32 | $10.50 – $157.12 |
| Central Medical Center | Seattle | $139.20 | $60.00 – $60.00 |
| Providence Centralia Hospital | Centralia | $76.44 | $15.75 – $208.27 |