Thoracotomy w/expl at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$583.85
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.
$1,652.25
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.
$0.70 with Cigna vs $7,672.40 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.70 | ↓ -100% |
| CHPW | Medicaid|All Plans | $280.89 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $286.51 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $297.41 | ↓ -49% |
| SoundPath | Medicare|All Plans | $297.41 | ↓ -49% |
| Kaiser | Medicare|All Plans | $297.41 | ↓ -49% |
| United | Medicaid|All Plans | $297.74 | ↓ -49% |
| Molina | Medicaid|All Plans | $299.23 | ↓ -49% |
| Optum | Medicare|All Plans | $300.38 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $306.33 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $306.33 | ↓ -48% |
| CHPW | Medicare|All Plans | $312.28 | ↓ -47% |
| Humana | Medicare|All Plans | $318.23 | ↓ -45% |
| United | Medicare|All Plans | $321.20 | ↓ -45% |
| Molina | Medicare|All Plans | $321.20 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $342.02 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $342.02 | ↓ -41% |
| Aetna | Medicare|All Plans | $363.50 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $550.20 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $565.07 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $571.02 | ↓ -2% |
| Aetna | Commercial|AWH | $660.90 | ↑ +13% |
| Kaiser | Commercial|HMO | $776.56 | ↑ +33% |
| Aetna | Commercial|All Other Plans | $793.08 | ↑ +36% |
| Kaiser | Commercial|PPO | $859.17 | ↑ +47% |
| Uniform Medical Plan | Commercial|All Plans | $991.35 | ↑ +70% |
| BCBS - Premera | Commercial|All Plans | $991.35 | ↑ +70% |
| BCBS - Regence | Commercial|All Plans | $991.35 | ↑ +70% |
| Aetna | Commercial|Rental | $1,189.62 | ↑ +104% |
| First Choice | Commercial|All Plans | $1,239.19 | ↑ +112% |
| United | Commercial|Navigate | $1,319.55 | ↑ +126% |
| United | Commercial|All Other Plans | $1,389.00 | ↑ +138% |
| MultiPlan | Commercial|All Plans | $1,487.03 | ↑ +155% |
| United | Commercial|Cascade Care | $1,511.00 | ↑ +159% |
| Aetna | Commercial|WEA | $7,672.40 | ↑ +1214% |
Visitor-reported prices
Comments
Thoracotomy w/expl at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $5,576.90 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $5,862.50 | $5,419.00 – $33,603.00 |
| Providence Mount Carmel Hospital | Colville | $6,704.60 | not published |
| Providence St Mary Medical Center | Walla Walla | $4,522.00 | not published |
| Kadlec Regional Medical Center | Richland | $16,955.40 | $1,367.73 – $7,909.00 |
| Providence Holy Family Hospital | Spokane | $5,425.00 | $2,985.00 – $11,241.00 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $5,045.04 | $7,246.00 – $13,908.00 |
| St. Michael Medical Center | Silverdale | $729.22 | $760.04 – $1,487.03 |