Ghs intermed repair 12.6 - 20.0 cm-12035 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$613.83
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.
$1,737.09
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.
$295.31 with CHPW vs $5,920.00 with Cigna — 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 | $295.31 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $301.22 | ↓ -51% |
| Kaiser | Medicare|All Plans | $312.68 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $312.68 | ↓ -49% |
| SoundPath | Medicare|All Plans | $312.68 | ↓ -49% |
| United | Medicaid|All Plans | $313.03 | ↓ -49% |
| Molina | Medicaid|All Plans | $314.59 | ↓ -49% |
| Optum | Medicare|All Plans | $315.81 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $322.06 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $322.06 | ↓ -48% |
| CHPW | Medicare|All Plans | $328.32 | ↓ -47% |
| Humana | Medicare|All Plans | $334.57 | ↓ -45% |
| Molina | Medicare|All Plans | $337.70 | ↓ -45% |
| United | Medicare|All Plans | $337.70 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $359.58 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $359.58 | ↓ -41% |
| Aetna | Medicare|All Plans | $382.16 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $578.46 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $594.09 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $600.34 | ↓ -2% |
| Aetna | Commercial|AWH | $694.84 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $833.81 | ↑ +36% |
| First Choice | Commercial|All Plans | $892.97 | ↑ +45% |
| Uniform Medical Plan | Commercial|All Plans | $985.47 | ↑ +61% |
| Kaiser | Commercial|HMO | $1,015.09 | ↑ +65% |
| Kaiser | Commercial|PPO | $1,116.67 | ↑ +82% |
| BCBS - Regence | Commercial|All Plans | $1,130.00 | ↑ +84% |
| Aetna | Commercial|Rental | $1,250.71 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $1,563.39 | ↑ +155% |
| BCBS - Premera | Commercial|All Plans | $1,687.51 | ↑ +175% |
| United | Commercial|Navigate | $1,814.50 | ↑ +196% |
| United | Commercial|All Other Plans | $1,910.00 | ↑ +211% |
| United | Commercial|Cascade Care | $2,077.00 | ↑ +238% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +864% |
Visitor-reported prices
Comments
Ghs intermed repair 12.6 - 20.0 cm-12035 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $482.30 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $1,035.36 | $470.74 – $1,501.70 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,442.00 | $453.00 – $1,152.88 |
| Swedish Medical Center Cherry Hill | Seattle | $1,035.36 | $470.74 – $1,453.77 |
| Swedish Issaquah | Issaquah | $1,035.36 | $472.06 – $1,501.70 |
| Providence Centralia Hospital | Centralia | $950.04 | $470.74 – $1,869.13 |
| Providence Mount Carmel Hospital | Colville | $482.30 | not published |
| Providence St Mary Medical Center | Walla Walla | $715.40 | $353.33 – $1,450.58 |