Diab manage trn ind/group at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$54.63
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.
$154.58
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.
$19.56 with BCBS - Regence vs $139.13 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 |
|---|---|---|---|
| BCBS - Regence | Commercial|All Plans | $19.56 | ↓ -64% |
| Uniform Medical Plan | Commercial|All Plans | $23.48 | ↓ -57% |
| CHPW | Medicaid|All Plans | $26.28 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $26.81 | ↓ -51% |
| SoundPath | Medicare|All Plans | $27.83 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $27.83 | ↓ -49% |
| Kaiser | Medicare|All Plans | $27.83 | ↓ -49% |
| United | Medicaid|All Plans | $27.86 | ↓ -49% |
| Molina | Medicaid|All Plans | $28.00 | ↓ -49% |
| Optum | Medicare|All Plans | $28.11 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $28.66 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $28.66 | ↓ -48% |
| CHPW | Medicare|All Plans | $29.22 | ↓ -47% |
| Humana | Medicare|All Plans | $29.78 | ↓ -45% |
| United | Medicare|All Plans | $30.06 | ↓ -45% |
| Molina | Medicare|All Plans | $30.06 | ↓ -45% |
| BCBS - Premera | Commercial|All Plans | $31.32 | ↓ -43% |
| Seattle Medical Group | Medicare|All Plans | $32.00 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $32.00 | ↓ -41% |
| Aetna | Medicare|All Plans | $34.01 | ↓ -38% |
| Kaiser | Commercial|HMO | $42.42 | ↓ -22% |
| Kaiser | Commercial|PPO | $46.66 | ↓ -15% |
| Coordinated Care | Commercial|Ambetter Exchange | $51.48 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $52.87 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $53.43 | ↓ -2% |
| United | Commercial|Cascade Care | $60.00 | ↑ +10% |
| Aetna | Commercial|AWH | $61.84 | ↑ +13% |
| United | Commercial|Navigate | $68.40 | ↑ +25% |
| United | Commercial|All Other Plans | $72.00 | ↑ +32% |
| Aetna | Commercial|All Other Plans | $74.20 | ↑ +36% |
| First Choice | Commercial|All Plans | $83.32 | ↑ +53% |
| Aetna | Commercial|WEA | $88.69 | ↑ +62% |
| Aetna | Commercial|Rental | $111.30 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $139.13 | ↑ +155% |
Visitor-reported prices
Comments
Diab manage trn ind/group at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $79.20 | $14.45 – $54.87 |
| Swedish Medical Center Cherry Hill | Seattle | $79.20 | $14.45 – $47.64 |
| Swedish Issaquah | Issaquah | $79.20 | $14.45 – $40.09 |
| Providence St Mary Medical Center | Walla Walla | $73.50 | $15.66 – $33.41 |
| Kadlec Regional Medical Center | Richland | $88.20 | $18.06 – $33.41 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $100.88 | $16.25 – $41.90 |
| MultiCare Yakima Memorial Hospital | Yakima | $16.00 | $16.44 – $29.06 |
| St. Michael Medical Center | Silverdale | $68.23 | $15.47 – $139.13 |