Tee w or without fol w/cont,cong at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,346.03
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.
$3,809.18
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.
$647.57 with CHPW vs $3,428.27 with MultiPlan — 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 | $647.57 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $660.52 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $685.66 | ↓ -49% |
| SoundPath | Medicare|All Plans | $685.66 | ↓ -49% |
| Kaiser | Medicare|All Plans | $685.66 | ↓ -49% |
| United | Medicaid|All Plans | $686.42 | ↓ -49% |
| Molina | Medicaid|All Plans | $689.85 | ↓ -49% |
| Optum | Medicare|All Plans | $692.51 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $706.23 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $706.23 | ↓ -48% |
| CHPW | Medicare|All Plans | $719.94 | ↓ -47% |
| Humana | Medicare|All Plans | $733.65 | ↓ -45% |
| Molina | Medicare|All Plans | $740.51 | ↓ -45% |
| United | Medicare|All Plans | $740.51 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $788.51 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $788.51 | ↓ -41% |
| Aetna | Medicare|All Plans | $838.02 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,268.46 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $1,302.74 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $1,316.46 | ↓ -2% |
| United | Commercial|Cascade Care | $1,420.00 | ↑ +5% |
| Aetna | Commercial|AWH | $1,523.68 | ↑ +13% |
| United | Commercial|Navigate | $1,612.15 | ↑ +20% |
| United | Commercial|All Other Plans | $1,697.00 | ↑ +26% |
| Aetna | Commercial|All Other Plans | $1,828.41 | ↑ +36% |
| Uniform Medical Plan | Commercial|All Plans | $1,978.83 | ↑ +47% |
| Kaiser | Commercial|HMO | $2,015.51 | ↑ +50% |
| Kaiser | Commercial|PPO | $2,217.21 | ↑ +65% |
| BCBS - Regence | Commercial|All Plans | $2,269.03 | ↑ +69% |
| Aetna | Commercial|Rental | $2,742.61 | ↑ +104% |
| First Choice | Commercial|All Plans | $2,856.89 | ↑ +112% |
| BCBS - Premera | Commercial|All Plans | $3,388.53 | ↑ +152% |
| MultiPlan | Commercial|All Plans | $3,428.27 | ↑ +155% |
Visitor-reported prices
Comments
Tee w or without fol w/cont,cong at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,885.80 | $873.56 – $2,450.95 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $1,536.08 | $892.73 – $2,859.44 |
| St. Michael Medical Center | Silverdale | $1,681.18 | $2,399.79 – $3,491.15 |
| St. Anne Hospital | Burien | $1,163.16 | $1,637.95 – $3,428.27 |
| St. Anthony Hospital | Gig Harbor | $1,158.56 | $2,015.51 – $2,883.66 |
| St. Joseph Medical Center | Tacoma | $1,261.60 | $2,015.51 – $2,883.66 |
| Virginia Mason Medical Center | Seattle | $1,334.16 | $602.41 – $2,565.00 |
| St. Francis Hospital | Federal Way | $1,195.41 | $2,015.51 – $2,883.66 |