Repair elbow deb/attch open at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$3,180.28
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.
$9,000.00
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.
$1,530.00 with CHPW vs $16,415.00 with Cigna — 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 | $1,530.00 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $1,560.60 | ↓ -51% |
| SoundPath | Medicare|All Plans | $1,620.00 | ↓ -49% |
| Kaiser | Medicare|All Plans | $1,620.00 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $1,620.00 | ↓ -49% |
| United | Medicaid|All Plans | $1,621.80 | ↓ -49% |
| Molina | Medicaid|All Plans | $1,629.90 | ↓ -49% |
| Optum | Medicare|All Plans | $1,636.20 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $1,668.60 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $1,668.60 | ↓ -48% |
| CHPW | Medicare|All Plans | $1,701.00 | ↓ -47% |
| Humana | Medicare|All Plans | $1,733.40 | ↓ -45% |
| United | Medicare|All Plans | $1,749.60 | ↓ -45% |
| Molina | Medicare|All Plans | $1,749.60 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $1,863.00 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $1,863.00 | ↓ -41% |
| Aetna | Medicare|All Plans | $1,980.00 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $2,997.00 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $3,078.00 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $3,110.40 | ↓ -2% |
| Aetna | Commercial|AWH | $3,600.00 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $4,320.00 | ↑ +36% |
| Aetna | Commercial|Rental | $6,480.00 | ↑ +104% |
| First Choice | Commercial|All Plans | $6,750.00 | ↑ +112% |
| Uniform Medical Plan | Commercial|All Plans | $7,999.67 | ↑ +152% |
| Kaiser | Commercial|HMO | $8,099.19 | ↑ +155% |
| MultiPlan | Commercial|All Plans | $8,100.00 | ↑ +155% |
| United | Commercial|Navigate | $8,801.75 | ↑ +177% |
| Kaiser | Commercial|PPO | $8,909.74 | ↑ +180% |
| BCBS - Regence | Commercial|All Plans | $9,172.83 | ↑ +188% |
| United | Commercial|All Other Plans | $9,265.00 | ↑ +191% |
| United | Commercial|Cascade Care | $10,078.00 | ↑ +217% |
| BCBS - Premera | Commercial|All Plans | $13,698.54 | ↑ +331% |
| Cigna | Commercial|All Plans | $16,415.00 | ↑ +416% |
Visitor-reported prices
Comments
Repair elbow deb/attch open at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Michael Medical Center | Silverdale | $3,972.14 | $5,670.00 – $14,029.00 |
| St. Anne Hospital | Burien | $2,748.20 | $3,870.00 – $8,100.00 |
| St. Anthony Hospital | Gig Harbor | $2,737.34 | $6,480.00 – $8,099.19 |
| St. Joseph Medical Center | Tacoma | $2,980.78 | $6,480.00 – $8,099.19 |
| Virginia Mason Medical Center | Seattle | $4,577.25 | $9.72 – $2,863.64 |
| St. Francis Hospital | Federal Way | $2,824.41 | $6,480.00 – $8,099.19 |
| St. Clare Hospital | Lakewood | $2,594.17 | $6,480.00 – $8,099.19 |
| Providence St Luke's Rehabilitation Medical Center | Spokane | not published | $3,646.14 – $4,010.75 |