CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: St Elizabeth Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$172
about 1.5× the $118 Medicare rate · typically $86–$248
modeled estimate · not a bill or quote
What this hospital charges insurers
$107
Below the fair price — a good deal
about $65 under the fair price · 0.9× Medicare
Medicare pays $118 Fair price $172 This hospital $107 Cash price $176 Hospital's list price $499

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 $54 Priciest $107

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

A fair price for a New patient office visit (30-44 min) is about $172 (about 1.5× the $118 Medicare rate). St Elizabeth Hospital charges insurers about $107, or about $176 in cash — below the fair price — a good deal. Located in Enumclaw, WA.

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 $64 - $148 54%
Blue Cross Blue Shieldmajor $93 - $166 79%
Aetnamajor $110 - $733 94%
Cignamajor $87 74%
Humanamajor $96 82%
Kaiser Permanentemajor $90 77%
Amerigroup $90 77%
Molina $90 - $172 77%
+ 5 smaller / regional plans $87 - $623
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

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