Drainage mouth roof lesion at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$235.22
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.
$665.65
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.
$113.17 with CHPW vs $5,920.00 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 | $113.17 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $115.43 | ↓ -51% |
| SoundPath | Medicare|All Plans | $119.82 | ↓ -49% |
| Kaiser | Medicare|All Plans | $119.82 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $119.82 | ↓ -49% |
| United | Medicaid|All Plans | $119.96 | ↓ -49% |
| Molina | Medicaid|All Plans | $120.55 | ↓ -49% |
| Optum | Medicare|All Plans | $121.02 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $123.42 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $123.42 | ↓ -48% |
| CHPW | Medicare|All Plans | $125.81 | ↓ -47% |
| Humana | Medicare|All Plans | $128.21 | ↓ -45% |
| Molina | Medicare|All Plans | $129.41 | ↓ -45% |
| United | Medicare|All Plans | $129.41 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $137.79 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $137.79 | ↓ -41% |
| Aetna | Medicare|All Plans | $146.45 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $221.67 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $227.66 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $230.05 | ↓ -2% |
| Aetna | Commercial|AWH | $266.26 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $319.52 | ↑ +36% |
| Aetna | Commercial|Rental | $479.27 | ↑ +104% |
| First Choice | Commercial|All Plans | $499.24 | ↑ +112% |
| Kaiser | Commercial|HMO | $565.48 | ↑ +140% |
| MultiPlan | Commercial|All Plans | $599.09 | ↑ +155% |
| Uniform Medical Plan | Commercial|All Plans | $603.68 | ↑ +157% |
| Kaiser | Commercial|PPO | $622.08 | ↑ +164% |
| BCBS - Regence | Commercial|All Plans | $692.21 | ↑ +194% |
| BCBS - Premera | Commercial|All Plans | $1,033.75 | ↑ +339% |
| United | Commercial|Navigate | $1,814.50 | ↑ +671% |
| United | Commercial|All Other Plans | $1,910.00 | ↑ +712% |
| United | Commercial|Cascade Care | $2,077.00 | ↑ +783% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +2417% |
Visitor-reported prices
Comments
Drainage mouth roof lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $277.90 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $636.48 | $274.27 – $957.11 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $919.80 | $263.93 – $671.71 |
| Swedish Medical Center Cherry Hill | Seattle | $636.48 | $274.27 – $926.56 |
| Swedish Issaquah | Issaquah | $636.48 | $275.04 – $957.11 |
| Providence Centralia Hospital | Centralia | $630.24 | $274.27 – $1,191.29 |
| Providence Mount Carmel Hospital | Colville | $333.20 | not published |
| Providence St Mary Medical Center | Walla Walla | $532.70 | $216.44 – $924.53 |