Knee orth pos locking joint at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$220.74
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.
$624.67
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.
$106.20 with CHPW vs $1,711.29 with Aetna — 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 | $106.20 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $108.32 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $112.45 | ↓ -49% |
| SoundPath | Medicare|All Plans | $112.45 | ↓ -49% |
| Kaiser | Medicare|All Plans | $112.45 | ↓ -49% |
| United | Medicaid|All Plans | $112.57 | ↓ -49% |
| Molina | Medicaid|All Plans | $113.13 | ↓ -49% |
| Optum | Medicare|All Plans | $113.57 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $115.82 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $115.82 | ↓ -48% |
| CHPW | Medicare|All Plans | $118.07 | ↓ -47% |
| Humana | Medicare|All Plans | $120.32 | ↓ -45% |
| United | Medicare|All Plans | $121.44 | ↓ -45% |
| Molina | Medicare|All Plans | $121.44 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $129.31 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $129.31 | ↓ -41% |
| Aetna | Medicare|All Plans | $137.43 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $208.02 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $213.64 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $215.89 | ↓ -2% |
| Aetna | Commercial|AWH | $249.87 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $299.85 | ↑ +36% |
| United | Commercial|Navigate | $306.09 | ↑ +39% |
| United | Commercial|Cascade Care | $306.09 | ↑ +39% |
| Cigna | Commercial|All Plans | $312.34 | ↑ +41% |
| United | Commercial|All Other Plans | $324.83 | ↑ +47% |
| BCBS - Regence | Commercial|All Plans | $338.01 | ↑ +53% |
| Uniform Medical Plan | Commercial|All Plans | $338.01 | ↑ +53% |
| Aetna | Commercial|Rental | $449.77 | ↑ +104% |
| First Choice | Commercial|All Plans | $468.51 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $562.21 | ↑ +155% |
| BCBS - Premera | Commercial|All Plans | $624.67 | ↑ +183% |
| Kaiser | Commercial|HMO | $896.37 | ↑ +306% |
| Kaiser | Commercial|PPO | $986.08 | ↑ +347% |
| Aetna | Commercial|WEA | $1,711.29 | ↑ +675% |
Visitor-reported prices
Comments
Knee orth pos locking joint at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Michael Medical Center | Silverdale | $275.70 | $338.01 – $1,552.65 |
| St. Anne Hospital | Burien | $190.75 | $268.61 – $1,104.23 |
| St. Anthony Hospital | Gig Harbor | $190.00 | $312.34 – $1,141.49 |
| St. Joseph Medical Center | Tacoma | $206.89 | $312.34 – $1,141.49 |
| St. Francis Hospital | Federal Way | $196.04 | $312.34 – $1,141.49 |
| St. Clare Hospital | Lakewood | $180.06 | $312.34 – $1,141.49 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $353.04 – $388.34 |
| Swedish Medical Center - First Hill Campus | Seattle | not published | $353.04 – $1,072.54 |