Whfo nontorsion joint prefab at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$179.35
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.
$507.54
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.
$86.29 with CHPW vs $1,019.57 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 |
|---|---|---|---|
| CHPW | Medicaid|All Plans | $86.29 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $88.01 | ↓ -51% |
| Kaiser | Medicare|All Plans | $91.36 | ↓ -49% |
| SoundPath | Medicare|All Plans | $91.36 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $91.36 | ↓ -49% |
| United | Medicaid|All Plans | $91.46 | ↓ -49% |
| Molina | Medicaid|All Plans | $91.92 | ↓ -49% |
| Optum | Medicare|All Plans | $92.28 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $94.10 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $94.10 | ↓ -48% |
| CHPW | Medicare|All Plans | $95.93 | ↓ -47% |
| Humana | Medicare|All Plans | $97.76 | ↓ -45% |
| United | Medicare|All Plans | $98.67 | ↓ -45% |
| Molina | Medicare|All Plans | $98.67 | ↓ -45% |
| WellPoint | Medicaid|All Plans | $105.07 | ↓ -41% |
| Seattle Medical Group | Medicare|All Plans | $105.07 | ↓ -41% |
| Aetna | Medicare|All Plans | $111.66 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $169.02 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $173.58 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $175.41 | ↓ -2% |
| Uniform Medical Plan | Commercial|All Plans | $201.36 | ↑ +12% |
| BCBS - Regence | Commercial|All Plans | $201.36 | ↑ +12% |
| Aetna | Commercial|AWH | $203.02 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $243.62 | ↑ +36% |
| United | Commercial|Navigate | $248.70 | ↑ +39% |
| United | Commercial|Cascade Care | $248.70 | ↑ +39% |
| Cigna | Commercial|All Plans | $253.77 | ↑ +41% |
| United | Commercial|All Other Plans | $263.93 | ↑ +47% |
| Aetna | Commercial|Rental | $365.43 | ↑ +104% |
| First Choice | Commercial|All Plans | $380.66 | ↑ +112% |
| BCBS - Premera | Commercial|All Plans | $402.72 | ↑ +125% |
| MultiPlan | Commercial|All Plans | $456.79 | ↑ +155% |
| Kaiser | Commercial|HMO | $534.00 | ↑ +198% |
| Kaiser | Commercial|PPO | $587.45 | ↑ +228% |
| Aetna | Commercial|WEA | $1,019.57 | ↑ +468% |
Visitor-reported prices
Comments
Whfo nontorsion joint prefab at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital | Chewelah | $46.20 | not published |
| Providence St Mary Medical Center | Walla Walla | $137.90 | not published |
| MultiCare Valley Hospital | Spokane Valley | $260.80 | $201.36 – $873.36 |
| MultiCare Yakima Memorial Hospital | Yakima | $170.00 | $181.22 – $352.44 |
| St. Michael Medical Center | Silverdale | $224.01 | $201.36 – $924.97 |
| St. Anne Hospital | Burien | $154.99 | $201.36 – $657.86 |
| St. Anthony Hospital | Gig Harbor | $154.37 | $201.36 – $680.06 |
| MultiCare Auburn Medical Center | Auburn | $260.80 | $176.19 – $908.68 |