ER Visit (level 1, minor) at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$271.74
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.
$769.00
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.
$130.73 with CHPW vs $692.10 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 |
|---|---|---|---|
| CHPW | Medicaid|All Plans | $130.73 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $133.35 | ↓ -51% |
| Kaiser | Medicare|All Plans | $138.42 | ↓ -49% |
| SoundPath | Medicare|All Plans | $138.42 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $138.42 | ↓ -49% |
| United | Medicaid|All Plans | $138.58 | ↓ -49% |
| Molina | Medicaid|All Plans | $139.27 | ↓ -49% |
| Optum | Medicare|All Plans | $139.81 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $142.58 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $142.58 | ↓ -48% |
| CHPW | Medicare|All Plans | $145.35 | ↓ -47% |
| Humana | Medicare|All Plans | $148.11 | ↓ -45% |
| Molina | Medicare|All Plans | $149.50 | ↓ -45% |
| United | Medicare|All Plans | $149.50 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $159.19 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $159.19 | ↓ -41% |
| Aetna | Medicare|All Plans | $169.18 | ↓ -38% |
| Kaiser | Commercial|HMO | $218.50 | ↓ -20% |
| Uniform Medical Plan | Commercial|All Plans | $219.42 | ↓ -19% |
| Kaiser | Commercial|PPO | $240.34 | ↓ -12% |
| BCBS - Regence | Commercial|All Plans | $251.60 | ↓ -7% |
| Coordinated Care | Commercial|Ambetter Exchange | $256.08 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $263.00 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $265.77 | ↓ -2% |
| Aetna | Commercial|AWH | $307.60 | ↑ +13% |
| First Choice | Commercial|All Plans | $329.01 | ↑ +21% |
| Cigna | Commercial|All Plans | $338.36 | ↑ +25% |
| Aetna | Commercial|All Other Plans | $369.12 | ↑ +36% |
| BCBS - Premera | Commercial|All Plans | $375.71 | ↑ +38% |
| United | Commercial|Navigate | $380.00 | ↑ +40% |
| United | Commercial|Cascade Care | $385.00 | ↑ +42% |
| United | Commercial|All Other Plans | $400.00 | ↑ +47% |
| Aetna | Commercial|Rental | $553.68 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $692.10 | ↑ +155% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $144.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $216.00 | $97.65 – $339.05 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $235.90 | $93.97 – $239.14 |
| Swedish Medical Center Cherry Hill | Seattle | $216.00 | $97.65 – $326.52 |
| Swedish Issaquah | Issaquah | $216.00 | $97.92 – $339.05 |
| Central Medical Center | Seattle | $367.20 | $144.00 – $144.00 |
| Providence Centralia Hospital | Centralia | $284.44 | $97.65 – $433.73 |
| Providence Mount Carmel Hospital | Colville | $128.80 | not published |