Ortho whf rigd without jnt cstm w/fit&adj at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$215.48
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.
$609.78
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.
$63.38 with CHPW vs $1,906.88 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 | $63.38 | ↓ -71% |
| Coordinated Care | Medicaid|All Plans | $64.65 | ↓ -70% |
| Amerigroup | Medicare|All Plans | $67.11 | ↓ -69% |
| SoundPath | Medicare|All Plans | $67.11 | ↓ -69% |
| Kaiser | Medicare|All Plans | $67.11 | ↓ -69% |
| United | Medicaid|All Plans | $67.19 | ↓ -69% |
| Molina | Medicaid|All Plans | $67.52 | ↓ -69% |
| Optum | Medicare|All Plans | $67.78 | ↓ -69% |
| BCBS - Regence | Medicare|All Plans | $69.12 | ↓ -68% |
| BCBS - Premera | Medicare|All Plans | $69.12 | ↓ -68% |
| CHPW | Medicare|All Plans | $70.47 | ↓ -67% |
| Humana | Medicare|All Plans | $71.81 | ↓ -67% |
| United | Medicare|All Plans | $72.48 | ↓ -66% |
| Molina | Medicare|All Plans | $72.48 | ↓ -66% |
| WellPoint | Medicaid|All Plans | $77.18 | ↓ -64% |
| Seattle Medical Group | Medicare|All Plans | $77.18 | ↓ -64% |
| Aetna | Medicare|All Plans | $82.02 | ↓ -62% |
| Coordinated Care | Commercial|Ambetter Exchange | $124.15 | ↓ -42% |
| Sound Family Medicine | Commercial|All Plans | $127.51 | ↓ -41% |
| Molina | Commercial|Marketplace Exchange | $128.85 | ↓ -40% |
| Aetna | Commercial|AWH | $149.13 | ↓ -31% |
| Aetna | Commercial|All Other Plans | $178.95 | ↓ -17% |
| United | Commercial|Navigate | $182.68 | ↓ -15% |
| United | Commercial|Cascade Care | $182.68 | ↓ -15% |
| Cigna | Commercial|All Plans | $186.41 | ↓ -13% |
| United | Commercial|All Other Plans | $193.87 | ↓ -10% |
| Aetna | Commercial|Rental | $268.43 | ↑ +25% |
| First Choice | Commercial|All Plans | $279.61 | ↑ +30% |
| MultiPlan | Commercial|All Plans | $335.53 | ↑ +56% |
| BCBS - Premera | Commercial|All Plans | $372.81 | ↑ +73% |
| BCBS - Regence | Commercial|All Plans | $376.62 | ↑ +75% |
| Uniform Medical Plan | Commercial|All Plans | $376.62 | ↑ +75% |
| Kaiser | Commercial|HMO | $998.79 | ↑ +364% |
| Kaiser | Commercial|PPO | $1,098.74 | ↑ +410% |
| Aetna | Commercial|WEA | $1,906.88 | ↑ +785% |
Visitor-reported prices
Comments
Ortho whf rigd without jnt cstm w/fit&adj at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $461.28 | $393.37 – $1,195.06 |
| Swedish Medical Center Cherry Hill | Seattle | $461.28 | $393.37 – $962.01 |
| Swedish Issaquah | Issaquah | $461.28 | $393.37 – $873.28 |
| Providence St Mary Medical Center | Walla Walla | $257.60 | not published |
| Kadlec Regional Medical Center | Richland | $322.70 | $393.37 – $727.73 |
| Providence Holy Family Hospital | Spokane | $24.50 | not published |
| MultiCare Valley Hospital | Spokane Valley | $200.40 | $376.62 – $1,633.51 |
| MultiCare Yakima Memorial Hospital | Yakima | $65.60 | $338.96 – $659.21 |