Ghs simple repair 12.6 - 20.0 cm - 12016 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$440.01
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.
$1,245.20
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.
$211.69 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 | $211.69 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $215.92 | ↓ -51% |
| SoundPath | Medicare|All Plans | $224.14 | ↓ -49% |
| Kaiser | Medicare|All Plans | $224.14 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $224.14 | ↓ -49% |
| United | Medicaid|All Plans | $224.39 | ↓ -49% |
| Molina | Medicaid|All Plans | $225.51 | ↓ -49% |
| Optum | Medicare|All Plans | $226.38 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $230.87 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $230.87 | ↓ -48% |
| CHPW | Medicare|All Plans | $235.35 | ↓ -47% |
| Humana | Medicare|All Plans | $239.83 | ↓ -45% |
| United | Medicare|All Plans | $242.07 | ↓ -45% |
| Molina | Medicare|All Plans | $242.07 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $257.76 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $257.76 | ↓ -41% |
| Aetna | Medicare|All Plans | $273.95 | ↓ -38% |
| First Choice | Commercial|All Plans | $327.52 | ↓ -26% |
| Coordinated Care | Commercial|Ambetter Exchange | $414.66 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $425.86 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $430.35 | ↓ -2% |
| Aetna | Commercial|AWH | $498.08 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $597.70 | ↑ +36% |
| Aetna | Commercial|Rental | $896.55 | ↑ +104% |
| Uniform Medical Plan | Commercial|All Plans | $985.47 | ↑ +124% |
| Kaiser | Commercial|HMO | $1,015.09 | ↑ +131% |
| Kaiser | Commercial|PPO | $1,116.67 | ↑ +154% |
| MultiPlan | Commercial|All Plans | $1,120.68 | ↑ +155% |
| BCBS - Regence | Commercial|All Plans | $1,130.00 | ↑ +157% |
| BCBS - Premera | Commercial|All Plans | $1,687.51 | ↑ +284% |
| United | Commercial|Navigate | $1,814.50 | ↑ +312% |
| United | Commercial|All Other Plans | $1,910.00 | ↑ +334% |
| United | Commercial|Cascade Care | $2,077.00 | ↑ +372% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +1245% |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12016 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $286.30 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $670.08 | $470.74 – $1,501.70 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $630.00 | $453.00 – $1,152.88 |
| Swedish Medical Center Cherry Hill | Seattle | $670.08 | $470.74 – $1,453.77 |
| Swedish Issaquah | Issaquah | $670.08 | $472.06 – $1,501.70 |
| Providence Centralia Hospital | Centralia | $950.04 | $470.74 – $1,869.13 |
| Providence Mount Carmel Hospital | Colville | $286.30 | not published |
| Providence St Mary Medical Center | Walla Walla | $1,106.00 | $353.33 – $1,450.58 |