Ortho ewh rgd without jnt cstm w/fit&adj at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$306.53
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.
$867.46
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.
$147.47 with CHPW vs $3,912.25 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 | $147.47 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $150.42 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $156.15 | ↓ -49% |
| SoundPath | Medicare|All Plans | $156.15 | ↓ -49% |
| Kaiser | Medicare|All Plans | $156.15 | ↓ -49% |
| United | Medicaid|All Plans | $156.32 | ↓ -49% |
| Molina | Medicaid|All Plans | $157.10 | ↓ -49% |
| Optum | Medicare|All Plans | $157.71 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $160.83 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $160.83 | ↓ -48% |
| CHPW | Medicare|All Plans | $163.95 | ↓ -47% |
| Humana | Medicare|All Plans | $167.08 | ↓ -45% |
| United | Medicare|All Plans | $168.64 | ↓ -45% |
| Molina | Medicare|All Plans | $168.64 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $179.57 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $179.57 | ↓ -41% |
| Aetna | Medicare|All Plans | $190.85 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $288.87 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $296.68 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $299.80 | ↓ -2% |
| Aetna | Commercial|AWH | $346.99 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $416.39 | ↑ +36% |
| United | Commercial|Navigate | $425.06 | ↑ +39% |
| United | Commercial|Cascade Care | $425.06 | ↑ +39% |
| Cigna | Commercial|All Plans | $433.73 | ↑ +41% |
| United | Commercial|All Other Plans | $451.08 | ↑ +47% |
| Aetna | Commercial|Rental | $624.58 | ↑ +104% |
| First Choice | Commercial|All Plans | $650.60 | ↑ +112% |
| Uniform Medical Plan | Commercial|All Plans | $772.71 | ↑ +152% |
| BCBS - Regence | Commercial|All Plans | $772.71 | ↑ +152% |
| MultiPlan | Commercial|All Plans | $780.72 | ↑ +155% |
| BCBS - Premera | Commercial|All Plans | $867.46 | ↑ +183% |
| Kaiser | Commercial|HMO | $2,049.19 | ↑ +569% |
| Kaiser | Commercial|PPO | $2,254.27 | ↑ +635% |
| Aetna | Commercial|WEA | $3,912.25 | ↑ +1176% |
Visitor-reported prices
Comments
Ortho ewh rgd without jnt cstm w/fit&adj at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $702.80 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $759.50 | $807.09 – $2,054.04 |
| Providence St Mary Medical Center | Walla Walla | $528.50 | not published |
| Providence Holy Family Hospital | Spokane | $774.90 | not published |
| St. Michael Medical Center | Silverdale | $382.86 | $546.50 – $3,549.50 |
| St. Anne Hospital | Burien | $264.89 | $373.01 – $2,524.40 |
| St. Anthony Hospital | Gig Harbor | $263.84 | $433.73 – $2,609.57 |
| St. Joseph Medical Center | Tacoma | $287.31 | $433.73 – $2,609.57 |