Mopath procedure level 5 at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$598.64
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.
$1,694.09
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.
$216.49 with CHPW vs $1,146.08 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 | $216.49 | ↓ -64% |
| Coordinated Care | Medicaid|All Plans | $220.82 | ↓ -63% |
| United | Medicaid|All Plans | $229.48 | ↓ -62% |
| Molina | Medicaid|All Plans | $230.62 | ↓ -61% |
| WellPoint | Medicaid|All Plans | $263.60 | ↓ -56% |
| Kaiser | Medicare|All Plans | $274.83 | ↓ -54% |
| SoundPath | Medicare|All Plans | $274.83 | ↓ -54% |
| Aetna | Medicare|All Plans | $274.83 | ↓ -54% |
| BCBS - Regence | Medicare|All Plans | $274.83 | ↓ -54% |
| United | Medicare|All Plans | $274.83 | ↓ -54% |
| Amerigroup | Medicare|All Plans | $274.83 | ↓ -54% |
| Optum | Medicare|All Plans | $277.58 | ↓ -54% |
| BCBS - Premera | Medicare|All Plans | $283.07 | ↓ -53% |
| BCBS - Regence | Commercial|All Plans | $288.57 | ↓ -52% |
| CHPW | Medicare|All Plans | $288.57 | ↓ -52% |
| Humana | Medicare|All Plans | $294.07 | ↓ -51% |
| Molina | Medicare|All Plans | $296.82 | ↓ -50% |
| Seattle Medical Group | Medicare|All Plans | $316.05 | ↓ -47% |
| Cigna | Commercial|All Plans | $403.73 | ↓ -33% |
| Uniform Medical Plan | Commercial|All Plans | $412.25 | ↓ -31% |
| BCBS - Premera | Commercial|All Plans | $412.25 | ↓ -31% |
| Coordinated Care | Commercial|Ambetter Exchange | $508.44 | ↓ -15% |
| Aetna | Commercial|AWH | $509.37 | ↓ -15% |
| Sound Family Medicine | Commercial|All Plans | $522.18 | ↓ -13% |
| Molina | Commercial|Marketplace Exchange | $527.67 | ↓ -12% |
| Aetna | Commercial|All Other Plans | $611.25 | ↑ +2% |
| United | Commercial|Cascade Care | $623.98 | ↑ +4% |
| United | Commercial|Navigate | $623.98 | ↑ +4% |
| United | Commercial|All Other Plans | $662.18 | ↑ +11% |
| Kaiser | Commercial|HMO | $747.78 | ↑ +25% |
| Kaiser | Commercial|PPO | $822.62 | ↑ +37% |
| Aetna | Commercial|Rental | $916.87 | ↑ +53% |
| First Choice | Commercial|All Plans | $955.07 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $1,146.08 | ↑ +91% |
Visitor-reported prices
Comments
Mopath procedure level 5 at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $73.92 | $247.35 – $834.93 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,241.80 | $274.83 – $699.44 |
| Swedish Medical Center Cherry Hill | Seattle | $73.92 | $247.35 – $824.49 |
| Swedish Issaquah | Issaquah | $73.92 | $247.35 – $610.12 |
| Central Medical Center | Seattle | $855.20 | $170.00 – $170.00 |
| Providence Mount Carmel Hospital | Colville | $678.30 | not published |
| Swedish Edmonds Hospital | Edmonds | $176.64 | $274.83 – $1,099.32 |
| Providence St Mary Medical Center | Walla Walla | $771.40 | $274.83 – $508.44 |