Oth resp proc, group at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$67.70
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.
$191.58
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.
$32.57 with CHPW vs $434.00 with United — 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 | $32.57 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $33.22 | ↓ -51% |
| Kaiser | Medicare|All Plans | $34.49 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $34.49 | ↓ -49% |
| SoundPath | Medicare|All Plans | $34.49 | ↓ -49% |
| United | Medicaid|All Plans | $34.53 | ↓ -49% |
| Molina | Medicaid|All Plans | $34.70 | ↓ -49% |
| Optum | Medicare|All Plans | $34.83 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $35.52 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $35.52 | ↓ -48% |
| CHPW | Medicare|All Plans | $36.21 | ↓ -47% |
| Humana | Medicare|All Plans | $36.90 | ↓ -45% |
| Molina | Medicare|All Plans | $37.25 | ↓ -45% |
| United | Medicare|All Plans | $37.25 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $39.66 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $39.66 | ↓ -41% |
| Aetna | Medicare|All Plans | $42.15 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $63.80 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $65.53 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $66.22 | ↓ -2% |
| Aetna | Commercial|AWH | $76.64 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $91.96 | ↑ +36% |
| Kaiser | Commercial|HMO | $92.40 | ↑ +36% |
| Uniform Medical Plan | Commercial|All Plans | $99.11 | ↑ +46% |
| Kaiser | Commercial|PPO | $101.65 | ↑ +50% |
| BCBS - Regence | Commercial|All Plans | $113.65 | ↑ +68% |
| Aetna | Commercial|Rental | $137.94 | ↑ +104% |
| First Choice | Commercial|All Plans | $143.69 | ↑ +112% |
| BCBS - Premera | Commercial|All Plans | $169.73 | ↑ +151% |
| MultiPlan | Commercial|All Plans | $172.43 | ↑ +155% |
| United | Commercial|Cascade Care | $363.00 | ↑ +436% |
| Cigna | Commercial|All Plans | $406.00 | ↑ +500% |
| United | Commercial|Navigate | $412.30 | ↑ +509% |
| United | Commercial|All Other Plans | $434.00 | ↑ +541% |
Visitor-reported prices
Comments
Oth resp proc, group at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $190.26 | $41.62 – $45.78 |
| Providence St Joseph Hospital | Chewelah | $42.70 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $342.24 | $43.25 – $157.12 |
| Swedish Medical Center Cherry Hill | Seattle | $342.24 | $43.25 – $152.11 |
| Swedish Issaquah | Issaquah | $342.24 | $43.37 – $157.12 |
| Providence St Mary Medical Center | Walla Walla | $144.90 | $35.54 – $77.00 |
| Kadlec Regional Medical Center | Richland | $178.50 | $21.81 – $130.71 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $194.48 | $42.54 – $140.41 |