M/phmtrc alys ishquant/semiq at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$459.40
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.
$1,300.05
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.
$183.44 with CHPW vs $971.14 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 | $183.44 | ↓ -60% |
| Coordinated Care | Medicaid|All Plans | $187.11 | ↓ -59% |
| SoundPath | Medicare|All Plans | $194.23 | ↓ -58% |
| Kaiser | Medicare|All Plans | $194.23 | ↓ -58% |
| Amerigroup | Medicare|All Plans | $194.23 | ↓ -58% |
| United | Medicaid|All Plans | $194.45 | ↓ -58% |
| Molina | Medicaid|All Plans | $195.42 | ↓ -57% |
| Optum | Medicare|All Plans | $196.17 | ↓ -57% |
| BCBS - Regence | Medicare|All Plans | $200.06 | ↓ -56% |
| BCBS - Premera | Medicare|All Plans | $200.06 | ↓ -56% |
| CHPW | Medicare|All Plans | $203.94 | ↓ -56% |
| Humana | Medicare|All Plans | $207.83 | ↓ -55% |
| Molina | Medicare|All Plans | $209.77 | ↓ -54% |
| United | Medicare|All Plans | $209.77 | ↓ -54% |
| Seattle Medical Group | Medicare|All Plans | $223.37 | ↓ -51% |
| WellPoint | Medicaid|All Plans | $223.37 | ↓ -51% |
| Aetna | Medicare|All Plans | $237.39 | ↓ -48% |
| Coordinated Care | Commercial|Ambetter Exchange | $359.33 | ↓ -22% |
| Sound Family Medicine | Commercial|All Plans | $369.04 | ↓ -20% |
| Molina | Commercial|Marketplace Exchange | $372.92 | ↓ -19% |
| Uniform Medical Plan | Commercial|All Plans | $422.13 | ↓ -8% |
| Kaiser | Commercial|HMO | $427.86 | ↓ -7% |
| Aetna | Commercial|AWH | $431.62 | ↓ -6% |
| Kaiser | Commercial|PPO | $470.68 | ↑ +2% |
| BCBS - Regence | Commercial|All Plans | $484.04 | ↑ +5% |
| Cigna | Commercial|All Plans | $515.10 | ↑ +12% |
| Aetna | Commercial|All Other Plans | $517.94 | ↑ +13% |
| United | Commercial|Cascade Care | $528.73 | ↑ +15% |
| United | Commercial|Navigate | $528.73 | ↑ +15% |
| United | Commercial|All Other Plans | $561.11 | ↑ +22% |
| BCBS - Premera | Commercial|All Plans | $722.85 | ↑ +57% |
| Aetna | Commercial|Rental | $776.91 | ↑ +69% |
| First Choice | Commercial|All Plans | $809.28 | ↑ +76% |
| MultiPlan | Commercial|All Plans | $971.14 | ↑ +111% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $258.30 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $129.12 | $197.29 – $674.45 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $324.80 | $189.85 – $516.60 |
| Swedish Medical Center Cherry Hill | Seattle | $129.12 | $197.29 – $652.93 |
| Swedish Issaquah | Issaquah | $129.12 | $197.84 – $674.45 |
| Central Medical Center | Seattle | $1,559.20 | $1,624.00 – $1,624.00 |
| Providence Centralia Hospital | Centralia | $190.32 | $197.29 – $958.73 |
| Providence Mount Carmel Hospital | Colville | $270.20 | not published |