Lev 4 hosp type b ed visit at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,056.60
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.
$2,990.10
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.
$508.32 with CHPW vs $2,691.09 with MultiPlan — 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 | $508.32 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $518.49 | ↓ -51% |
| Kaiser | Medicare|All Plans | $538.22 | ↓ -49% |
| SoundPath | Medicare|All Plans | $538.22 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $538.22 | ↓ -49% |
| United | Medicaid|All Plans | $538.82 | ↓ -49% |
| Molina | Medicaid|All Plans | $541.51 | ↓ -49% |
| Optum | Medicare|All Plans | $543.61 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $554.37 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $554.37 | ↓ -48% |
| CHPW | Medicare|All Plans | $565.13 | ↓ -47% |
| Humana | Medicare|All Plans | $575.90 | ↓ -45% |
| Molina | Medicare|All Plans | $581.28 | ↓ -45% |
| United | Medicare|All Plans | $581.28 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $618.96 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $618.96 | ↓ -41% |
| Aetna | Medicare|All Plans | $657.83 | ↓ -38% |
| Uniform Medical Plan | Commercial|All Plans | $728.00 | ↓ -31% |
| Kaiser | Commercial|HMO | $761.09 | ↓ -28% |
| BCBS - Regence | Commercial|All Plans | $834.77 | ↓ -21% |
| Kaiser | Commercial|PPO | $837.26 | ↓ -21% |
| First Choice | Commercial|All Plans | $893.42 | ↓ -15% |
| Coordinated Care | Commercial|Ambetter Exchange | $995.71 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $1,022.62 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $1,033.38 | ↓ -2% |
| Aetna | Commercial|AWH | $1,196.04 | ↑ +13% |
| BCBS - Premera | Commercial|All Plans | $1,246.63 | ↑ +18% |
| Cigna | Commercial|All Plans | $1,315.65 | ↑ +25% |
| Aetna | Commercial|All Other Plans | $1,435.25 | ↑ +36% |
| United | Commercial|Navigate | $1,870.00 | ↑ +77% |
| United | Commercial|Cascade Care | $1,894.00 | ↑ +79% |
| United | Commercial|All Other Plans | $1,968.00 | ↑ +86% |
| Aetna | Commercial|Rental | $2,152.88 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $2,691.09 | ↑ +155% |
Visitor-reported prices
Comments
Lev 4 hosp type b ed visit at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $465.50 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $638.40 | $294.53 – $749.57 |
| Providence St Mary Medical Center | Walla Walla | $775.60 | $261.01 – $544.88 |
| Kadlec Regional Medical Center | Richland | $731.50 | $294.53 – $793.50 |
| Providence Holy Family Hospital | Spokane | $694.40 | $294.53 – $773.13 |
| St. Michael Medical Center | Silverdale | $1,319.68 | $1,318.32 – $2,691.09 |
| St. Anne Hospital | Burien | $913.05 | $789.76 – $2,691.09 |
| St. Anthony Hospital | Gig Harbor | $909.44 | $761.09 – $2,242.58 |