Ortho elbow without jnt cstm w/fit&adj at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$24.96
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.
$70.63
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.
$12.01 with CHPW vs $1,527.99 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 |
|---|---|---|---|
| CHPW | Medicaid|All Plans | $12.01 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $12.25 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $12.72 | ↓ -49% |
| SoundPath | Medicare|All Plans | $12.72 | ↓ -49% |
| Kaiser | Medicare|All Plans | $12.72 | ↓ -49% |
| United | Medicaid|All Plans | $12.73 | ↓ -49% |
| Molina | Medicaid|All Plans | $12.80 | ↓ -49% |
| Optum | Medicare|All Plans | $12.85 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $13.10 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $13.10 | ↓ -48% |
| CHPW | Medicare|All Plans | $13.35 | ↓ -47% |
| Humana | Medicare|All Plans | $13.61 | ↓ -45% |
| United | Medicare|All Plans | $13.74 | ↓ -45% |
| Molina | Medicare|All Plans | $13.74 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $14.63 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $14.63 | ↓ -41% |
| Aetna | Medicare|All Plans | $15.54 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $23.52 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $24.16 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $24.41 | ↓ -2% |
| Aetna | Commercial|AWH | $28.26 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $33.91 | ↑ +36% |
| United | Commercial|Navigate | $34.61 | ↑ +39% |
| United | Commercial|Cascade Care | $34.61 | ↑ +39% |
| Cigna | Commercial|All Plans | $35.32 | ↑ +42% |
| United | Commercial|All Other Plans | $36.73 | ↑ +47% |
| Aetna | Commercial|Rental | $50.86 | ↑ +104% |
| First Choice | Commercial|All Plans | $52.98 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $63.57 | ↑ +155% |
| BCBS - Premera | Commercial|All Plans | $70.63 | ↑ +183% |
| BCBS - Regence | Commercial|All Plans | $301.79 | ↑ +1109% |
| Uniform Medical Plan | Commercial|All Plans | $301.79 | ↑ +1109% |
| Kaiser | Commercial|HMO | $800.33 | ↑ +3106% |
| Kaiser | Commercial|PPO | $880.42 | ↑ +3427% |
| Aetna | Commercial|WEA | $1,527.99 | ↑ +6022% |
Visitor-reported prices
Comments
Ortho elbow without jnt cstm w/fit&adj at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $364.00 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $476.75 | $315.21 – $957.61 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $393.40 | $315.21 – $802.21 |
| Swedish Medical Center Cherry Hill | Seattle | $476.75 | $315.21 – $770.88 |
| Swedish Edmonds Hospital | Edmonds | $476.75 | $315.21 – $1,027.84 |
| Providence St Mary Medical Center | Walla Walla | $206.50 | not published |
| Kadlec Regional Medical Center | Richland | $258.30 | $315.21 – $583.14 |
| Providence Holy Family Hospital | Spokane | $401.80 | not published |