Ins/rpl pm gen exist sgl lead at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$4,125.20
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.
$11,674.05
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.
$1,984.59 with CHPW vs $35,954.31 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 | $1,984.59 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $2,024.29 | ↓ -51% |
| SoundPath | Medicare|All Plans | $2,101.33 | ↓ -49% |
| Kaiser | Medicare|All Plans | $2,101.33 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $2,101.33 | ↓ -49% |
| United | Medicaid|All Plans | $2,103.67 | ↓ -49% |
| Molina | Medicaid|All Plans | $2,114.18 | ↓ -49% |
| Optum | Medicare|All Plans | $2,122.35 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $2,164.37 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $2,164.37 | ↓ -48% |
| CHPW | Medicare|All Plans | $2,206.40 | ↓ -47% |
| Humana | Medicare|All Plans | $2,248.43 | ↓ -45% |
| Molina | Medicare|All Plans | $2,269.44 | ↓ -45% |
| United | Medicare|All Plans | $2,269.44 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $2,416.53 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $2,416.53 | ↓ -41% |
| Aetna | Medicare|All Plans | $2,568.30 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $3,887.46 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $3,992.53 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $4,034.56 | ↓ -2% |
| Aetna | Commercial|AWH | $4,669.62 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $5,603.55 | ↑ +36% |
| Cigna | Commercial|All Plans | $6,630.00 | ↑ +61% |
| Aetna | Commercial|Rental | $8,405.32 | ↑ +104% |
| First Choice | Commercial|All Plans | $8,755.54 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $10,506.65 | ↑ +155% |
| United | Commercial|Cascade Care | $19,424.00 | ↑ +371% |
| Uniform Medical Plan | Commercial|All Plans | $20,996.61 | ↑ +409% |
| United | Commercial|Navigate | $22,054.25 | ↑ +435% |
| Kaiser | Commercial|HMO | $22,210.08 | ↑ +438% |
| United | Commercial|All Other Plans | $23,215.00 | ↑ +463% |
| BCBS - Regence | Commercial|All Plans | $24,075.80 | ↑ +484% |
| Kaiser | Commercial|PPO | $24,432.80 | ↑ +492% |
| BCBS - Premera | Commercial|All Plans | $35,954.31 | ↑ +772% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $9,428.64 | $7,277.00 – $37,215.81 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $23,601.90 | $9,221.63 – $23,689.74 |
| Swedish Medical Center Cherry Hill | Seattle | $9,428.64 | $7,277.00 – $35,840.28 |
| Swedish Issaquah | Issaquah | $9,428.64 | $7,277.00 – $37,215.81 |
| Central Medical Center | Seattle | $20,231.20 | not published |
| Providence St Mary Medical Center | Walla Walla | $6,399.40 | $7,527.99 – $17,060.02 |
| Kadlec Regional Medical Center | Richland | $7,749.00 | $548.47 – $28,351.26 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $7,378.28 | $9,161.00 – $28,962.61 |