Drainage of mouth lesion at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,527.71
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.
?
What you pay up front if you don't use insurance.
$4,323.30
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.
?
The hospital's undiscounted list price — almost no one pays this.
$734.97 with CHPW vs $13,625.65 with BCBS - Premera — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $734.97 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $749.67 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $778.20 | ↓ -49% |
| SoundPath | Medicare|All Plans | $778.20 | ↓ -49% |
| Kaiser | Medicare|All Plans | $778.20 | ↓ -49% |
| United | Medicaid|All Plans | $779.06 | ↓ -49% |
| Molina | Medicaid|All Plans | $782.95 | ↓ -49% |
| Optum | Medicare|All Plans | $785.98 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $801.54 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $801.54 | ↓ -48% |
| CHPW | Medicare|All Plans | $817.11 | ↓ -47% |
| Humana | Medicare|All Plans | $832.67 | ↓ -45% |
| United | Medicare|All Plans | $840.45 | ↓ -45% |
| Molina | Medicare|All Plans | $840.45 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $894.93 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $894.93 | ↓ -41% |
| Aetna | Medicare|All Plans | $951.13 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,439.66 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $1,478.57 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $1,494.14 | ↓ -2% |
| United | Commercial|Navigate | $1,711.90 | ↑ +12% |
| Aetna | Commercial|AWH | $1,729.32 | ↑ +13% |
| United | Commercial|All Other Plans | $1,802.00 | ↑ +18% |
| United | Commercial|Cascade Care | $1,960.00 | ↑ +28% |
| Aetna | Commercial|All Other Plans | $2,075.19 | ↑ +36% |
| Aetna | Commercial|Rental | $3,112.78 | ↑ +104% |
| First Choice | Commercial|All Plans | $3,242.48 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $3,890.97 | ↑ +155% |
| Cigna | Commercial|All Plans | $4,556.00 | ↑ +198% |
| Kaiser | Commercial|HMO | $7,741.04 | ↑ +407% |
| Uniform Medical Plan | Commercial|All Plans | $7,957.10 | ↑ +421% |
| Kaiser | Commercial|PPO | $8,515.74 | ↑ +457% |
| BCBS - Regence | Commercial|All Plans | $9,124.02 | ↑ +497% |
| BCBS - Premera | Commercial|All Plans | $13,625.65 | ↑ +792% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $4,256.70 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $7,764.48 | $3,839.27 – $12,755.94 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $6,736.10 | $3,694.56 – $9,402.66 |
| Swedish Medical Center Cherry Hill | Seattle | $7,764.48 | $3,839.27 – $12,284.47 |
| Swedish Issaquah | Issaquah | $7,764.48 | $3,850.04 – $12,755.94 |
| Providence Centralia Hospital | Centralia | $6,572.28 | $3,839.27 – $15,322.85 |
| Providence Mount Carmel Hospital | Colville | $4,979.10 | not published |
| Providence St Mary Medical Center | Walla Walla | $2,825.20 | $2,852.89 – $6,834.94 |