MRI tmj at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,546.29
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.
$4,375.90
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.
$518.84 with Cigna vs $3,938.31 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $518.84 | ↓ -66% |
| Uniform Medical Plan | Commercial|All Plans | $605.60 | ↓ -61% |
| Kaiser | Commercial|HMO | $635.38 | ↓ -59% |
| BCBS - Regence | Commercial|All Plans | $694.41 | ↓ -55% |
| Kaiser | Commercial|PPO | $698.97 | ↓ -55% |
| CHPW | Medicaid|All Plans | $743.91 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $758.79 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $787.67 | ↓ -49% |
| SoundPath | Medicare|All Plans | $787.67 | ↓ -49% |
| Kaiser | Medicare|All Plans | $787.67 | ↓ -49% |
| United | Medicaid|All Plans | $788.54 | ↓ -49% |
| Molina | Medicaid|All Plans | $792.48 | ↓ -49% |
| Optum | Medicare|All Plans | $795.54 | ↓ -49% |
| Aetna | Commercial|AWH | $804.51 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $811.30 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $811.30 | ↓ -48% |
| CHPW | Medicare|All Plans | $827.05 | ↓ -47% |
| Humana | Medicare|All Plans | $842.80 | ↓ -45% |
| United | Medicare|All Plans | $850.68 | ↓ -45% |
| Molina | Medicare|All Plans | $850.68 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $905.82 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $905.82 | ↓ -41% |
| Aetna | Commercial|All Other Plans | $946.49 | ↓ -39% |
| Aetna | Medicare|All Plans | $962.70 | ↓ -38% |
| BCBS - Premera | Commercial|All Plans | $1,037.01 | ↓ -33% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,457.18 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $1,496.56 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $1,512.32 | ↓ -2% |
| United | Commercial|Navigate | $1,725.20 | ↑ +12% |
| United | Commercial|Cascade Care | $1,748.00 | ↑ +13% |
| First Choice | Commercial|All Plans | $1,773.27 | ↑ +15% |
| United | Commercial|All Other Plans | $1,816.00 | ↑ +17% |
| Aetna | Commercial|Rental | $3,150.65 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $3,938.31 | ↑ +155% |
Visitor-reported prices
Comments
MRI tmj at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $1,361.50 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $1,015.68 | $276.30 – $1,095.29 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $2,111.20 | $265.88 – $838.94 |
| Swedish Medical Center Cherry Hill | Seattle | $1,015.68 | $276.30 – $1,060.33 |
| Swedish Issaquah | Issaquah | $1,015.68 | $277.07 – $1,095.29 |
| Central Medical Center | Seattle | $1,280.00 | $242.00 – $242.00 |
| Providence Mount Carmel Hospital | Colville | $1,636.60 | not published |
| Providence St Mary Medical Center | Walla Walla | $2,437.40 | $217.13 – $491.89 |