Ghs simple repair 7.6 - 12.5 cm - 12004 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$435.87
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.
$1,233.46
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.
$209.69 with CHPW vs $2,077.00 with United — 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 | $209.69 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $213.89 | ↓ -51% |
| Kaiser | Medicare|All Plans | $222.03 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $222.03 | ↓ -49% |
| SoundPath | Medicare|All Plans | $222.03 | ↓ -49% |
| United | Medicaid|All Plans | $222.27 | ↓ -49% |
| Molina | Medicaid|All Plans | $223.38 | ↓ -49% |
| Optum | Medicare|All Plans | $224.25 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $228.69 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $228.69 | ↓ -48% |
| CHPW | Medicare|All Plans | $233.13 | ↓ -47% |
| Humana | Medicare|All Plans | $237.57 | ↓ -45% |
| Molina | Medicare|All Plans | $239.79 | ↓ -45% |
| United | Medicare|All Plans | $239.79 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $255.33 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $255.33 | ↓ -41% |
| Aetna | Medicare|All Plans | $271.37 | ↓ -38% |
| First Choice | Commercial|All Plans | $327.52 | ↓ -25% |
| Coordinated Care | Commercial|Ambetter Exchange | $410.75 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $421.85 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $426.29 | ↓ -2% |
| Kaiser | Commercial|HMO | $491.34 | ↑ +13% |
| Aetna | Commercial|AWH | $493.39 | ↑ +13% |
| Uniform Medical Plan | Commercial|All Plans | $494.79 | ↑ +14% |
| Kaiser | Commercial|PPO | $540.51 | ↑ +24% |
| BCBS - Regence | Commercial|All Plans | $567.35 | ↑ +30% |
| Aetna | Commercial|All Other Plans | $592.07 | ↑ +36% |
| BCBS - Premera | Commercial|All Plans | $847.25 | ↑ +94% |
| Cigna | Commercial|All Plans | $851.09 | ↑ +95% |
| Aetna | Commercial|Rental | $888.10 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $1,110.12 | ↑ +155% |
| United | Commercial|Navigate | $1,814.50 | ↑ +316% |
| United | Commercial|All Other Plans | $1,910.00 | ↑ +338% |
| United | Commercial|Cascade Care | $2,077.00 | ↑ +377% |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12004 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $166.60 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $607.68 | $232.33 – $821.23 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $473.90 | $223.58 – $569.00 |
| Swedish Medical Center Cherry Hill | Seattle | $607.68 | $232.33 – $795.02 |
| Swedish Issaquah | Issaquah | $607.68 | $232.98 – $821.23 |
| Providence Centralia Hospital | Centralia | $577.72 | $232.33 – $1,022.17 |
| Providence Mount Carmel Hospital | Colville | $160.30 | not published |
| Providence St Mary Medical Center | Walla Walla | $584.50 | $177.40 – $793.27 |