New Patient Office Visit (level 4) at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$217.32
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.
$615.00
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.
$64.00 with United vs $1,246.20 with Aetna — 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 |
|---|---|---|---|
| United | Commercial|Cascade Care | $64.00 | ↓ -71% |
| United | Commercial|Navigate | $68.00 | ↓ -69% |
| United | Commercial|All Other Plans | $76.00 | ↓ -65% |
| Cigna | Commercial|All Plans | $87.00 | ↓ -60% |
| CHPW | Medicaid|All Plans | $104.55 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $106.65 | ↓ -51% |
| SoundPath | Medicare|All Plans | $110.70 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $110.70 | ↓ -49% |
| Kaiser | Medicare|All Plans | $110.70 | ↓ -49% |
| United | Medicaid|All Plans | $110.83 | ↓ -49% |
| Molina | Medicaid|All Plans | $111.38 | ↓ -49% |
| Optum | Medicare|All Plans | $111.81 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $114.03 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $114.03 | ↓ -48% |
| CHPW | Medicare|All Plans | $116.24 | ↓ -47% |
| Humana | Medicare|All Plans | $118.45 | ↓ -45% |
| Molina | Medicare|All Plans | $119.56 | ↓ -45% |
| United | Medicare|All Plans | $119.56 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $127.31 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $127.31 | ↓ -41% |
| Aetna | Medicare|All Plans | $135.30 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $204.80 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $210.33 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $212.55 | ↓ -2% |
| Aetna | Commercial|AWH | $246.00 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $295.20 | ↑ +36% |
| Aetna | Commercial|Rental | $442.80 | ↑ +104% |
| First Choice | Commercial|All Plans | $461.25 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $553.50 | ↑ +155% |
| Aetna | Commercial|WEA | $1,246.20 | ↑ +473% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $282.10 | not published |
| Providence Centralia Hospital | Centralia | $326.04 | not published |
| Providence Mount Carmel Hospital | Colville | $331.80 | not published |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $252.20 | not published |
| Providence St Peter Hospital | Olympia | $326.04 | not published |
| St. Michael Medical Center | Silverdale | $271.43 | $387.45 – $553.50 |
| St. Anne Hospital | Burien | $187.80 | $264.45 – $755.08 |
| St. Anthony Hospital | Gig Harbor | $187.06 | $442.80 – $867.23 |