#flow interp 9 - 15 markers at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$69.00
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.
$195.26
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.
$33.20 with CHPW vs $175.74 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 | $33.20 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $33.86 | ↓ -51% |
| SoundPath | Medicare|All Plans | $35.15 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $35.15 | ↓ -49% |
| Kaiser | Medicare|All Plans | $35.15 | ↓ -49% |
| United | Medicaid|All Plans | $35.19 | ↓ -49% |
| Molina | Medicaid|All Plans | $35.37 | ↓ -49% |
| Optum | Medicare|All Plans | $35.50 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $36.21 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $36.21 | ↓ -48% |
| CHPW | Medicare|All Plans | $36.91 | ↓ -47% |
| Humana | Medicare|All Plans | $37.61 | ↓ -45% |
| Molina | Medicare|All Plans | $37.96 | ↓ -45% |
| United | Medicare|All Plans | $37.96 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $40.42 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $40.42 | ↓ -41% |
| Aetna | Medicare|All Plans | $42.96 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $65.03 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $66.78 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $67.49 | ↓ -2% |
| Aetna | Commercial|AWH | $78.11 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $93.73 | ↑ +36% |
| United | Commercial|Cascade Care | $95.68 | ↑ +39% |
| United | Commercial|Navigate | $95.68 | ↑ +39% |
| Cigna | Commercial|All Plans | $97.84 | ↑ +42% |
| United | Commercial|All Other Plans | $101.54 | ↑ +47% |
| BCBS - Premera | Commercial|All Plans | $117.16 | ↑ +70% |
| Aetna | Commercial|Rental | $140.59 | ↑ +104% |
| First Choice | Commercial|All Plans | $146.45 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $175.74 | ↑ +155% |
Visitor-reported prices
Comments
#flow interp 9 - 15 markers at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $104.58 | $241.79 – $241.79 |
| Providence St Joseph Hospital | Chewelah | $150.50 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $150.50 | $127.12 – $398.71 |
| Central Medical Center | Seattle | $364.00 | $75.00 – $75.00 |
| Providence Mount Carmel Hospital | Colville | $150.50 | not published |
| Providence St Mary Medical Center | Walla Walla | $42.70 | $436.86 – $436.86 |
| Providence Holy Family Hospital | Spokane | $901.60 | $127.12 – $288.70 |
| MultiCare Valley Hospital | Spokane Valley | $52.00 | $19.58 – $20.73 |