Tx open dstl phlngl fx f/t internal fixation ea at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$1,632.32
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.
$4,619.35
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.
$785.29 with CHPW vs $13,698.54 with BCBS - Premera — 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 | $785.29 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $801.00 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $831.49 | ↓ -49% |
| SoundPath | Medicare|All Plans | $831.49 | ↓ -49% |
| Kaiser | Medicare|All Plans | $831.49 | ↓ -49% |
| United | Medicaid|All Plans | $832.41 | ↓ -49% |
| Molina | Medicaid|All Plans | $836.57 | ↓ -49% |
| Optum | Medicare|All Plans | $839.80 | ↓ -49% |
| BCBS - Regence | Medicare|All Plans | $856.43 | ↓ -48% |
| BCBS - Premera | Medicare|All Plans | $856.43 | ↓ -48% |
| CHPW | Medicare|All Plans | $873.06 | ↓ -47% |
| Humana | Medicare|All Plans | $889.69 | ↓ -45% |
| Molina | Medicare|All Plans | $898.01 | ↓ -45% |
| United | Medicare|All Plans | $898.01 | ↓ -45% |
| Seattle Medical Group | Medicare|All Plans | $956.21 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $956.21 | ↓ -41% |
| Aetna | Medicare|All Plans | $1,016.26 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $1,538.25 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $1,579.82 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $1,596.45 | ↓ -2% |
| Aetna | Commercial|AWH | $1,847.74 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $2,217.29 | ↑ +36% |
| Aetna | Commercial|Rental | $3,325.94 | ↑ +104% |
| First Choice | Commercial|All Plans | $3,464.52 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $4,157.42 | ↑ +155% |
| United | Commercial|Navigate | $7,711.15 | ↑ +372% |
| Uniform Medical Plan | Commercial|All Plans | $7,999.67 | ↑ +390% |
| Cigna | Commercial|All Plans | $8,016.00 | ↑ +391% |
| Kaiser | Commercial|HMO | $8,099.19 | ↑ +396% |
| United | Commercial|All Other Plans | $8,117.00 | ↑ +397% |
| United | Commercial|Cascade Care | $8,830.00 | ↑ +441% |
| Kaiser | Commercial|PPO | $8,909.74 | ↑ +446% |
| BCBS - Regence | Commercial|All Plans | $9,172.83 | ↑ +462% |
| BCBS - Premera | Commercial|All Plans | $13,698.54 | ↑ +739% |
Visitor-reported prices
Comments
Tx open dstl phlngl fx f/t internal fixation ea at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $2,335.20 | not published |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $6,603.10 | $3,646.14 – $9,279.41 |
| Providence Centralia Hospital | Centralia | $6,876.48 | $3,788.94 – $16,014.08 |
| Providence Mount Carmel Hospital | Colville | $2,796.50 | not published |
| Providence St Mary Medical Center | Walla Walla | $3,928.40 | $2,868.15 – $6,745.35 |
| Kadlec Regional Medical Center | Richland | $810.60 | $859.42 – $10,155.94 |
| Providence Holy Family Hospital | Spokane | $6,249.60 | $3,646.14 – $15,653.00 |
| Providence Regional Medical Center Everett - Colby Campus | Everett | $7,404.80 | $3,726.16 – $11,306.00 |