Ins/rplc spi npg/rcvr pocket at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$4,391.33
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.
$12,427.19
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.
$2,112.63 with CHPW vs $131,415.23 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 | $2,112.63 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $2,154.88 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $2,236.90 | ↓ -49% |
| SoundPath | Medicare|All Plans | $2,236.90 | ↓ -49% |
| Kaiser | Medicare|All Plans | $2,236.90 | ↓ -49% |
| United | Medicaid|All Plans | $2,239.38 | ↓ -49% |
| Molina | Medicaid|All Plans | $2,250.57 | ↓ -49% |
| Optum | Medicare|All Plans | $2,259.27 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $2,304.01 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $2,304.01 | ↓ -48% |
| CHPW | Medicare|All Plans | $2,348.74 | ↓ -47% |
| Humana | Medicare|All Plans | $2,393.48 | ↓ -45% |
| United | Medicare|All Plans | $2,415.85 | ↓ -45% |
| Molina | Medicare|All Plans | $2,415.85 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $2,572.43 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $2,572.43 | ↓ -41% |
| Aetna | Medicare|All Plans | $2,733.99 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $4,138.26 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $4,250.10 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $4,294.84 | ↓ -2% |
| Aetna | Commercial|AWH | $4,970.88 | ↑ +13% |
| Cigna | Commercial|All Plans | $5,920.00 | ↑ +35% |
| Aetna | Commercial|All Other Plans | $5,965.06 | ↑ +36% |
| Aetna | Commercial|Rental | $8,947.58 | ↑ +104% |
| First Choice | Commercial|All Plans | $9,320.40 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $11,184.48 | ↑ +155% |
| United | Commercial|Cascade Care | $27,174.00 | ↑ +519% |
| United | Commercial|Navigate | $30,854.10 | ↑ +603% |
| United | Commercial|All Other Plans | $32,478.00 | ↑ +640% |
| Uniform Medical Plan | Commercial|All Plans | $76,743.88 | ↑ +1648% |
| Kaiser | Commercial|HMO | $79,881.49 | ↑ +1719% |
| Kaiser | Commercial|PPO | $87,875.80 | ↑ +1901% |
| BCBS - Regence | Commercial|All Plans | $87,998.50 | ↑ +1904% |
| BCBS - Premera | Commercial|All Plans | $131,415.23 | ↑ +2893% |
Visitor-reported prices
Comments
Ins/rplc spi npg/rcvr pocket at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $16,624.80 | $7,277.00 – $141,808.26 |
| Swedish Medical Center Cherry Hill | Seattle | $16,624.80 | $7,277.00 – $136,566.89 |
| Swedish Issaquah | Issaquah | $16,624.80 | $7,277.00 – $141,808.26 |
| Kadlec Regional Medical Center | Richland | $7,262.50 | $614.44 – $108,030.53 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $57,637.32 | $6,914.00 – $110,360.02 |
| MultiCare Yakima Memorial Hospital | Yakima | $6,917.60 | $36,812.79 – $96,645.87 |
| St. Michael Medical Center | Silverdale | $5,484.72 | $7,829.13 – $138,366.52 |
| St. Anne Hospital | Burien | $3,794.72 | $5,343.70 – $83,397.93 |