How many shoppable procedure prices are published for St Elizabeth Hospital?

St Elizabeth Hospital in Enumclaw, WA currently has 95 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Elizabeth Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Elizabeth Hospital's median negotiated commercial rate is 2.0× the regionally adjusted fair BaseRate benchmark.

What is St Elizabeth Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns St Elizabeth Hospital an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · urban Updated: 2026-02-28

St Elizabeth Hospital

1450 Battersby Avenue, Enumclaw, WA 98022 · 95 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

High Markup · Shop Alternatives

1.96×vs. Fair Market Price

Typical commercial prices here are +96% above the fair benchmark (1.96×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 58% of the Time

File Completeness90

Price Logic65

Peer Alignment82

Clean Billing82

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.96× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +22% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

St Elizabeth Hospital prices routine shoppable procedures at 3.1× Medicare (median 2.13× Fair BaseRate) while upper-quartile commercial rates jump +22% to 2.59× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#57 of 58 in WA · 96th State Percentile#3,059 of 3,385 in U.S. · 90th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.37× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 58% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 74% patient recommendation (71/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (24.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Commercial insurance median sits at 2.13× Fair BaseRate (3.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.59×) jump +22% above the median procedure ratio (Q50 2.13×)
Unnegotiated chargemaster list prices average 16.6× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.71× Divergence

2.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+22% Upper Tail

Q25 1.37× · Q50 2.13× · Q75 2.59×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

3.1× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.2× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

58% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 71/100Fair

Procedure Prices at St Elizabeth Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$59,436	$30,775	1.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$37,243	$19,087	2.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$36,369	$19,432	1.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$35,019	$17,936	2.0×
Total knee replacement CPT Code: `27447`	—	$19,847	$13,523	1.5×
Total hip replacement CPT Code: `27130`	—	$18,189	$13,413	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$14,958	$8,223	1.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$14,794	$6,109	unverified
Inguinal hernia repair CPT Code: `49505`	—	$9,451	$3,629	unverified
Rabies immune globulin HCPCS Code: `90375`	$9,381	$9,381	$322	unverified
Breast lump removal CPT Code: `19120`	—	$9,092	$3,875	unverified
Bunion correction surgery CPT Code: `28296`	—	$8,940	$3,446	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$8,856	$3,372	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$7,158	$2,540	2.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,488	$4,488	$448	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,628	$3,628	$303	unverified
Trauma team activation HCPCS Code: `G0390`	$4,225	$2,845	$1,453	2.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,757	$2,797	$1,021	2.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,264	$1,256	1.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,109	$981	2.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,100	$987	2.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,120	$1,687	$511	3.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,965	$1,563	$583	2.7×
MRI, lower back (no contrast) CPT Code: `72148`	$2,417	$1,416	$338	4.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,251	$1,251	$151	unverified
MRI, brain (no contrast) CPT Code: `70551`	$1,925	$1,127	$343	3.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,897	$1,111	$258	unverified
Blood transfusion CPT Code: `36430`	$1,134	$1,071	$498	2.2×
CT scan, chest (no contrast) CPT Code: `71250`	$1,923	$1,092	$167	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,693	$992	$242	4.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,628	$954	$169	5.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,626	$952	$160	unverified
CT scan, pelvis CPT Code: `72192`	$1,602	$938	$163	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$936	$894	$855	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,477	$865	$168	5.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$860	$620	$272	2.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$720	$396	$134	3.0×
CT scan, sinuses CPT Code: `70486`	$416	$403	$166	2.4×
Ultrasound, pelvis CPT Code: `76856`	$566	$336	$130	2.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$432	$334	$132	2.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$465	$316	$126	2.5×
X-ray, lower back CPT Code: `72110`	$389	$257	$112	2.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$315	$220	$93	2.4×
X-ray, pelvis CPT Code: `72170`	$293	$236	$110	2.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$407	$239	$148	1.6×
Screening mammogram (both breasts) CPT Code: `77067`	$348	$204	$123	1.7×
X-ray, chest (single view) CPT Code: `71045`	$235	$198	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$305	$215	$93	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$181	$153	$64	2.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$161	$151	$201	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$153	$92	$87	1.1×
New patient office visit (30-44 min) CPT Code: `99203`	$176	$107	$110	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$183	$111	$123	0.9×
Typhoid vaccine HCPCS Code: `90675`	$743	$612	$347	1.8×
Pneumococcal vaccine HCPCS Code: `90732`	$232	$196	$140	1.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$209	$196	$203	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$181	$153	$111	1.4×
Drug screening test HCPCS Code: `G0480`	$138	$153	$116	1.3×
Hepatitis C antibody test CPT Code: `86803`	$83	$83	$15	5.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$103	$103	$19	5.4×
Culture, bacterial CPT Code: `87070`	$70	$70	$9	7.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$79	$79	$14	5.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$77	$77	$14	5.5×
Blood test, vitamin B12 CPT Code: `82607`	$80	$80	$16	5.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$85	$85	$18	4.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$93	$67	$35	1.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$88	$77	$56	1.4×
Culture, blood CPT Code: `87040`	$100	$100	$11	unverified
Blood test, vitamin D CPT Code: `82306`	$124	$64	$31	2.1×
Hepatitis B vaccine HCPCS Code: `90744`	$94	$49	$37	1.3×
Blood test, lipase CPT Code: `83690`	$67	$67	$7	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$31	$31	$3	10.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$39	$39	$4	9.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$40	$40	$5	8.0×
Blood test, sodium CPT Code: `84295`	$38	$38	$5	7.6×
Blood test, potassium CPT Code: `84132`	$36	$36	$5	7.2×
Blood test, magnesium CPT Code: `83735`	$49	$49	$7	7.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$56	$56	$8	7.0×
Blood test, basic metabolic panel CPT Code: `80048`	$53	$53	$9	5.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$56	$56	$10	5.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$64	$55	$86	0.6×
Blood test, calcium CPT Code: `82310`	$28	$28	$5	5.6×
Blood test, liver function panel CPT Code: `80076`	$41	$41	$9	4.6×
Blood antibody screen CPT Code: `86850`	$59	$47	$46	1.0×
Blood test, amylase CPT Code: `82150`	$54	$54	$7	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$20	$10	$4	2.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$29	$15	$6	2.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$45	$23	$11	2.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$46	$39	$39	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$47	$40	$48	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$47	$40	$49	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$29	$27	$34	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$18	$17	$25	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$28	$24	$49	0.5×
Blood test, hemoglobin CPT Code: `85018`	$35	$35	$3	unverified

Showing top 25 high-impact procedures of 95 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 24.4%

Audit a Bill or Quote at St Elizabeth Hospital (Zero PHI Required)

CMS CCN: 501335

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $59,436

1. Amount on Your Bill or Quote ($) Pre-filled with St Elizabeth Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $34,848 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $34,848

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (24.4% of gross = $34,848).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St Elizabeth Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$111,871 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($142,646) is $111,871 above the denoised Fair BaseRate ($30,775) and 6.1× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 910715805

Filing Period: 195203

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (24.4% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite71/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait189 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at St Elizabeth Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-14·administrative_or_closure
Met Requirements
Recorded
2024-02-02·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (202 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Elizabeth Hospital.

Price Index: 1.43× regional baseline

Quality: 68/100 CMS composite

Median Household Income$122,148U.S. Census ACS

Local Uninsured Share5.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 82/100 · Corroborated CMS CCN 501335 EIN 910715805

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 501335) ↗ Verify IRS Form 990 (EIN 910715805) ↗ CMS HCRIS Cost Reports ↗

Published MRF File910715805-1073674040_enumclaw-regional-hospital-association_standardcharges.json

Publication / Vintage2026-02-28 · 121.98 MB

Validated Rate Rows3,236 (CMS v3.0.0)

File Integrity Digest79fa21ccbb29fec2dd9a…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy