Mopath procedure level 1 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$71.45
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.
$202.18
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.
$34.38 with CHPW vs $191.45 with Kaiser — 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 | $34.38 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $35.06 | ↓ -51% |
| United | Medicaid|All Plans | $36.44 | ↓ -49% |
| Molina | Medicaid|All Plans | $36.62 | ↓ -49% |
| WellPoint | Medicaid|All Plans | $41.86 | ↓ -41% |
| BCBS - Regence | Medicare|All Plans | $63.96 | ↓ -10% |
| SoundPath | Medicare|All Plans | $63.96 | ↓ -10% |
| Aetna | Medicare|All Plans | $63.96 | ↓ -10% |
| United | Medicare|All Plans | $63.96 | ↓ -10% |
| Amerigroup | Medicare|All Plans | $63.96 | ↓ -10% |
| Kaiser | Medicare|All Plans | $63.96 | ↓ -10% |
| Optum | Medicare|All Plans | $64.60 | ↓ -10% |
| BCBS - Premera | Medicare|All Plans | $65.88 | ↓ -8% |
| CHPW | Medicare|All Plans | $67.16 | ↓ -6% |
| BCBS - Regence | Commercial|All Plans | $67.16 | ↓ -6% |
| Humana | Medicare|All Plans | $68.44 | ↓ -4% |
| Molina | Medicare|All Plans | $69.08 | ↓ -3% |
| Seattle Medical Group | Medicare|All Plans | $73.55 | ↑ +3% |
| Aetna | Commercial|AWH | $80.88 | ↑ +13% |
| Cigna | Commercial|All Plans | $93.95 | ↑ +31% |
| Uniform Medical Plan | Commercial|All Plans | $95.94 | ↑ +34% |
| BCBS - Premera | Commercial|All Plans | $95.94 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $97.05 | ↑ +36% |
| United | Commercial|Cascade Care | $99.07 | ↑ +39% |
| United | Commercial|Navigate | $99.07 | ↑ +39% |
| United | Commercial|All Other Plans | $105.14 | ↑ +47% |
| Coordinated Care | Commercial|Ambetter Exchange | $118.33 | ↑ +66% |
| Sound Family Medicine | Commercial|All Plans | $121.52 | ↑ +70% |
| Molina | Commercial|Marketplace Exchange | $122.80 | ↑ +72% |
| Aetna | Commercial|Rental | $145.57 | ↑ +104% |
| First Choice | Commercial|All Plans | $151.64 | ↑ +112% |
| Kaiser | Commercial|HMO | $174.03 | ↑ +144% |
| MultiPlan | Commercial|All Plans | $181.97 | ↑ +155% |
| Kaiser | Commercial|PPO | $191.45 | ↑ +168% |
Visitor-reported prices
Comments
Mopath procedure level 1 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $177.12 | $57.56 – $194.31 |
| Swedish Medical Center Cherry Hill | Seattle | $177.12 | $57.56 – $191.88 |
| Swedish Issaquah | Issaquah | $177.12 | $57.56 – $141.99 |
| Central Medical Center | Seattle | $198.40 | $39.00 – $39.00 |
| Providence St Mary Medical Center | Walla Walla | $286.30 | $63.96 – $118.33 |
| MultiCare Valley Hospital | Spokane Valley | $229.20 | $63.96 – $115.96 |
| MultiCare Yakima Memorial Hospital | Yakima | $66.40 | $63.93 – $117.05 |
| St. Michael Medical Center | Silverdale | $89.24 | $63.96 – $181.97 |