X-ray surgical specimen at St. Elizabeth Hospital
1455 Battersby Avenue, Enumclaw, WA · Vmfh · · NPI 1073674040
$352.08
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.
$996.35
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.
$109.59 with Aetna vs $2,334.72 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 |
|---|---|---|---|
| Aetna | Commercial|AWH | $109.59 | ↓ -69% |
| Aetna | Commercial|All Other Plans | $128.93 | ↓ -63% |
| CHPW | Medicaid|All Plans | $169.38 | ↓ -52% |
| Coordinated Care | Medicaid|All Plans | $172.77 | ↓ -51% |
| Kaiser | Medicare|All Plans | $179.35 | ↓ -49% |
| Amerigroup | Medicare|All Plans | $179.35 | ↓ -49% |
| SoundPath | Medicare|All Plans | $179.35 | ↓ -49% |
| United | Medicaid|All Plans | $179.55 | ↓ -49% |
| Molina | Medicaid|All Plans | $180.44 | ↓ -49% |
| Optum | Medicare|All Plans | $181.14 | ↓ -49% |
| BCBS - Premera | Medicare|All Plans | $184.73 | ↓ -48% |
| BCBS - Regence | Medicare|All Plans | $184.73 | ↓ -48% |
| CHPW | Medicare|All Plans | $188.32 | ↓ -47% |
| Humana | Medicare|All Plans | $191.90 | ↓ -45% |
| United | Medicare|All Plans | $193.70 | ↓ -45% |
| Molina | Medicare|All Plans | $193.70 | ↓ -45% |
| United | Commercial|Navigate | $204.25 | ↓ -42% |
| Seattle Medical Group | Medicare|All Plans | $206.25 | ↓ -41% |
| WellPoint | Medicaid|All Plans | $206.25 | ↓ -41% |
| United | Commercial|Cascade Care | $207.00 | ↓ -41% |
| United | Commercial|All Other Plans | $215.00 | ↓ -39% |
| Aetna | Medicare|All Plans | $219.20 | ↓ -38% |
| Coordinated Care | Commercial|Ambetter Exchange | $331.79 | ↓ -6% |
| Sound Family Medicine | Commercial|All Plans | $340.76 | ↓ -3% |
| Molina | Commercial|Marketplace Exchange | $344.34 | ↓ -2% |
| Aetna | Commercial|Rental | $717.38 | ↑ +104% |
| First Choice | Commercial|All Plans | $747.27 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $896.72 | ↑ +155% |
| Cigna | Commercial|All Plans | $996.83 | ↑ +183% |
| Uniform Medical Plan | Commercial|All Plans | $1,363.43 | ↑ +287% |
| Kaiser | Commercial|HMO | $1,368.97 | ↑ +289% |
| Kaiser | Commercial|PPO | $1,505.97 | ↑ +328% |
| BCBS - Regence | Commercial|All Plans | $1,563.38 | ↑ +344% |
| BCBS - Premera | Commercial|All Plans | $2,334.72 | ↑ +563% |
Visitor-reported prices
Comments
X-ray surgical specimen at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Swedish Medical Center - First Hill Campus | Seattle | $197.76 | $632.74 – $2,263.43 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,059.10 | $288.09 – $1,733.69 |
| Swedish Medical Center Cherry Hill | Seattle | $197.76 | $632.74 – $2,191.19 |
| Swedish Issaquah | Issaquah | $197.76 | $116.27 – $2,263.43 |
| Central Medical Center | Seattle | $1,920.00 | $549.00 – $549.00 |
| Providence Centralia Hospital | Centralia | $1,292.72 | $329.67 – $3,000.24 |
| Providence Mount Carmel Hospital | Colville | $1,518.30 | not published |
| Providence St Mary Medical Center | Walla Walla | $1,989.40 | $153.12 – $1,126.45 |