Mopath procedure level 3 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$233.93
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.
$661.98
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.
$109.49 with CHPW vs $579.65 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 | $109.49 | ↓ -53% |
| Coordinated Care | Medicaid|All Plans | $111.68 | ↓ -52% |
| United | Medicaid|All Plans | $116.06 | ↓ -50% |
| Molina | Medicaid|All Plans | $116.64 | ↓ -50% |
| WellPoint | Medicaid|All Plans | $133.32 | ↓ -43% |
| Kaiser | Medicare|All Plans | $150.33 | ↓ -36% |
| SoundPath | Medicare|All Plans | $150.33 | ↓ -36% |
| Aetna | Medicare|All Plans | $150.33 | ↓ -36% |
| BCBS - Regence | Medicare|All Plans | $150.33 | ↓ -36% |
| United | Medicare|All Plans | $150.33 | ↓ -36% |
| Amerigroup | Medicare|All Plans | $150.33 | ↓ -36% |
| Optum | Medicare|All Plans | $151.83 | ↓ -35% |
| BCBS - Premera | Medicare|All Plans | $154.84 | ↓ -34% |
| BCBS - Regence | Commercial|All Plans | $157.85 | ↓ -33% |
| CHPW | Medicare|All Plans | $157.85 | ↓ -33% |
| Humana | Medicare|All Plans | $160.85 | ↓ -31% |
| Molina | Medicare|All Plans | $162.36 | ↓ -31% |
| Seattle Medical Group | Medicare|All Plans | $172.88 | ↓ -26% |
| Cigna | Commercial|All Plans | $220.82 | ↓ -6% |
| Uniform Medical Plan | Commercial|All Plans | $225.50 | ↓ -4% |
| BCBS - Premera | Commercial|All Plans | $225.50 | ↓ -4% |
| Aetna | Commercial|AWH | $257.62 | ↑ +10% |
| Coordinated Care | Commercial|Ambetter Exchange | $278.11 | ↑ +19% |
| Sound Family Medicine | Commercial|All Plans | $285.63 | ↑ +22% |
| Molina | Commercial|Marketplace Exchange | $288.63 | ↑ +23% |
| Aetna | Commercial|All Other Plans | $309.15 | ↑ +32% |
| United | Commercial|Cascade Care | $315.59 | ↑ +35% |
| United | Commercial|Navigate | $315.59 | ↑ +35% |
| United | Commercial|All Other Plans | $334.91 | ↑ +43% |
| Kaiser | Commercial|HMO | $409.03 | ↑ +75% |
| Kaiser | Commercial|PPO | $449.97 | ↑ +92% |
| Aetna | Commercial|Rental | $463.72 | ↑ +98% |
| First Choice | Commercial|All Plans | $483.04 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $579.65 | ↑ +148% |
Visitor-reported prices
Comments
Mopath procedure level 3 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $121.44 | $135.30 – $456.70 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $406.70 | $150.33 – $382.59 |
| Swedish Medical Center Cherry Hill | Seattle | $121.44 | $135.30 – $450.99 |
| Swedish Issaquah | Issaquah | $121.44 | $135.30 – $333.73 |
| Central Medical Center | Seattle | $467.20 | $93.00 – $93.00 |
| Swedish Edmonds Hospital | Edmonds | $121.44 | $150.33 – $601.32 |
| Providence St Mary Medical Center | Walla Walla | $448.70 | $150.33 – $278.11 |
| Kadlec Regional Medical Center | Richland | $442.40 | $150.33 – $278.11 |