Sinus CT scan (without contrast) at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,485.73
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.
$4,204.50
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.
$142.96 with CHPW vs $2,049.00 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 | $142.96 | ↓ -90% |
| Coordinated Care | Medicaid|All Plans | $145.82 | ↓ -90% |
| SoundPath | Medicare|All Plans | $151.37 | ↓ -90% |
| Kaiser | Medicare|All Plans | $151.37 | ↓ -90% |
| Amerigroup | Medicare|All Plans | $151.37 | ↓ -90% |
| United | Medicaid|All Plans | $151.54 | ↓ -90% |
| Molina | Medicaid|All Plans | $152.29 | ↓ -90% |
| Optum | Medicare|All Plans | $152.88 | ↓ -90% |
| BCBS - Regence | Medicare|All Plans | $155.91 | ↓ -90% |
| BCBS - Premera | Medicare|All Plans | $155.91 | ↓ -90% |
| CHPW | Medicare|All Plans | $158.94 | ↓ -89% |
| Humana | Medicare|All Plans | $161.96 | ↓ -89% |
| Molina | Medicare|All Plans | $163.48 | ↓ -89% |
| United | Medicare|All Plans | $163.48 | ↓ -89% |
| WellPoint | Medicaid|All Plans | $174.07 | ↓ -88% |
| Seattle Medical Group | Medicare|All Plans | $174.07 | ↓ -88% |
| Aetna | Medicare|All Plans | $185.00 | ↓ -88% |
| Cigna | Commercial|All Plans | $255.63 | ↓ -83% |
| Uniform Medical Plan | Commercial|All Plans | $271.71 | ↓ -82% |
| Coordinated Care | Commercial|Ambetter Exchange | $280.02 | ↓ -81% |
| Sound Family Medicine | Commercial|All Plans | $287.59 | ↓ -81% |
| Molina | Commercial|Marketplace Exchange | $290.62 | ↓ -80% |
| Kaiser | Commercial|HMO | $290.81 | ↓ -80% |
| BCBS - Regence | Commercial|All Plans | $311.56 | ↓ -79% |
| Kaiser | Commercial|PPO | $319.91 | ↓ -78% |
| Aetna | Commercial|AWH | $336.36 | ↓ -77% |
| Aetna | Commercial|All Other Plans | $403.64 | ↓ -73% |
| BCBS - Premera | Commercial|All Plans | $465.29 | ↓ -69% |
| Aetna | Commercial|Rental | $605.45 | ↓ -59% |
| First Choice | Commercial|All Plans | $630.68 | ↓ -58% |
| MultiPlan | Commercial|All Plans | $756.81 | ↓ -49% |
| United | Commercial|Cascade Care | $1,715.00 | ↑ +15% |
| United | Commercial|Navigate | $1,946.55 | ↑ +31% |
| United | Commercial|All Other Plans | $2,049.00 | ↑ +38% |
Visitor-reported prices
Comments
Sinus CT scan (without contrast) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $959.49 | $116.50 – $128.15 |
| Providence St Joseph Hospital | Chewelah | $1,065.40 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $304.32 | $121.06 – $526.78 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,199.80 | $116.50 – $403.49 |
| Swedish Medical Center Cherry Hill | Seattle | $304.32 | $121.06 – $509.96 |
| Swedish Issaquah | Issaquah | $304.32 | $121.40 – $526.78 |
| Central Medical Center | Seattle | $1,440.00 | $107.00 – $107.00 |
| Providence Centralia Hospital | Centralia | $1,011.92 | $121.06 – $698.26 |