Incision of windpipe at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$5,184.29
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.
$14,671.23
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.
$0.70 with Cigna vs $24,783.73 with BCBS - Premera — 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.70 | ↓ -100% |
| CHPW | Medicaid|All Plans | $2,494.11 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $2,544.00 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $2,640.83 | ↓ -49% |
| SoundPath | Medicare|All Plans | $2,640.83 | ↓ -49% |
| Kaiser | Medicare|All Plans | $2,640.83 | ↓ -49% |
| United | Medicaid|All Plans | $2,643.76 | ↓ -49% |
| Molina | Medicaid|All Plans | $2,656.96 | ↓ -49% |
| Optum | Medicare|All Plans | $2,667.23 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $2,720.05 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $2,720.05 | ↓ -48% |
| CHPW | Medicare|All Plans | $2,772.87 | ↓ -47% |
| Humana | Medicare|All Plans | $2,825.68 | ↓ -45% |
| United | Medicare|All Plans | $2,852.09 | ↓ -45% |
| Molina | Medicare|All Plans | $2,852.09 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $3,036.95 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $3,036.95 | ↓ -41% |
| Aetna | Medicare|All Plans | $3,227.68 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $4,885.52 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $5,017.57 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $5,070.38 | ↓ -2% |
| Aetna | Commercial|AWH | $5,868.50 | ↑ +13% |
| First Choice | Commercial|All Plans | $6,831.15 | ↑ +32% |
| Aetna | Commercial|All Other Plans | $7,042.20 | ↑ +36% |
| United | Commercial|Navigate | $7,711.15 | ↑ +49% |
| United | Commercial|All Other Plans | $8,117.00 | ↑ +57% |
| United | Commercial|Cascade Care | $8,830.00 | ↑ +70% |
| Aetna | Commercial|Rental | $10,563.29 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $13,204.11 | ↑ +155% |
| Uniform Medical Plan | Commercial|All Plans | $14,473.21 | ↑ +179% |
| Kaiser | Commercial|HMO | $14,528.71 | ↑ +180% |
| Kaiser | Commercial|PPO | $15,982.70 | ↑ +208% |
| BCBS - Regence | Commercial|All Plans | $16,595.73 | ↑ +220% |
| BCBS - Premera | Commercial|All Plans | $24,783.73 | ↑ +378% |
Visitor-reported prices
Comments
Incision of windpipe at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Michael Medical Center | Silverdale | $6,475.12 | $9,242.88 – $25,165.86 |
| St. Anne Hospital | Burien | $4,479.95 | $6,308.63 – $13,204.11 |
| St. Anthony Hospital | Gig Harbor | $4,462.24 | $10,563.29 – $14,528.71 |
| St. Joseph Medical Center | Tacoma | $4,859.08 | $10,563.29 – $14,528.71 |
| Virginia Mason Medical Center | Seattle | $7,179.27 | $13.03 – $2,118.59 |
| St. Francis Hospital | Federal Way | $4,604.18 | $10,563.29 – $14,528.71 |
| St. Clare Hospital | Lakewood | $4,228.85 | $10,563.29 – $14,528.71 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $6,596.73 – $7,256.40 |