Ins/rpl ldless pm right vent w img & eval at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$9,138.14
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.
$25,860.37
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.
$4,396.27 with CHPW vs $82,462.84 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 |
|---|---|---|---|
| CHPW | Medicaid|All Plans | $4,396.27 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $4,484.19 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $4,654.87 | ↓ -49% |
| SoundPath | Medicare|All Plans | $4,654.87 | ↓ -49% |
| Kaiser | Medicare|All Plans | $4,654.87 | ↓ -49% |
| United | Medicaid|All Plans | $4,660.04 | ↓ -49% |
| Molina | Medicaid|All Plans | $4,683.32 | ↓ -49% |
| Optum | Medicare|All Plans | $4,701.42 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $4,794.52 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $4,794.52 | ↓ -48% |
| CHPW | Medicare|All Plans | $4,887.61 | ↓ -47% |
| Humana | Medicare|All Plans | $4,980.71 | ↓ -45% |
| Molina | Medicare|All Plans | $5,027.26 | ↓ -45% |
| United | Medicare|All Plans | $5,027.26 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $5,353.10 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $5,353.10 | ↓ -41% |
| Aetna | Medicare|All Plans | $5,689.29 | ↓ -38% |
| Cigna | Commercial|All Plans | $6,725.00 | ↓ -26% |
| Coordinated Care | Commercial|Ambetter Exchange | $8,611.51 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $8,844.25 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $8,937.35 | ↓ -2% |
| Aetna | Commercial|AWH | $10,344.15 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $12,412.98 | ↑ +36% |
| Aetna | Commercial|Rental | $18,619.47 | ↑ +104% |
| First Choice | Commercial|All Plans | $19,395.28 | ↑ +112% |
| United | Commercial|Navigate | $22,222.40 | ↑ +143% |
| MultiPlan | Commercial|All Plans | $23,274.34 | ↑ +155% |
| United | Commercial|All Other Plans | $23,392.00 | ↑ +156% |
| United | Commercial|Cascade Care | $25,442.00 | ↑ +178% |
| Kaiser | Commercial|HMO | $46,738.53 | ↑ +411% |
| Uniform Medical Plan | Commercial|All Plans | $48,156.66 | ↑ +427% |
| Kaiser | Commercial|PPO | $51,415.99 | ↑ +463% |
| BCBS - Regence | Commercial|All Plans | $55,218.92 | ↑ +504% |
| BCBS - Premera | Commercial|All Plans | $82,462.84 | ↑ +802% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $29,634.24 | $7,277.00 – $77,627.65 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $55,636.00 | $5,419.00 – $54,626.28 |
| Swedish Medical Center Cherry Hill | Seattle | $29,634.24 | $7,277.00 – $74,758.46 |
| Swedish Issaquah | Issaquah | $29,634.24 | $7,277.00 – $77,627.65 |
| Providence St Mary Medical Center | Walla Walla | $21,922.60 | $17,265.78 – $39,708.69 |
| Kadlec Regional Medical Center | Richland | $28,568.40 | $818.11 – $59,137.29 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $23,693.80 | $7,246.00 – $60,412.49 |
| Providence St Peter Hospital | Olympia | $27,297.40 | $3,484.00 – $74,917.86 |