CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: St Elizabeth Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$27,666
about 2.0× the $14,044 Medicare rate · typically $14,575–$40,844
modeled estimate · not a bill or quote
What this hospital charges insurers
$36,369
Above the fair price
about $8,703 over the fair price · 2.6× Medicare
Medicare pays $14,044 Fair price $27,666 This hospital $36,369

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Highest price of the 9 WA hospitals we have prices for — worth calling around.

Cheapest $11,313 Priciest $36,369

Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $27,666 (about 2.0× the $14,044 Medicare rate). St Elizabeth Hospital charges insurers about $36,369 — above the fair price. Located in Enumclaw, WA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $27,666. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $4,363 - $34,935 31%
Blue Cross Blue Shieldmajor $4,449 - $47,011 32%
Aetnamajor $3,688 - $36,135 26%
Cignamajor $36,315 259%
Humanamajor $4,622 33%
Kaiser Permanentemajor $4,319 - $43,887 31%
Amerigroup $4,319 31%
Molina $4,665 - $8,293 33%
+ 5 smaller / regional plans $4,319 - $36,422

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1450 Battersby Avenue, Enumclaw, WA 98022
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals