Cascade Medical Center
402 Lake Cascade Parkway, Cascade, ID 83611 · 81 Priced Procedures
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
Cascade Medical Center prices shoppable and inpatient services (6.3× to 4.7× Medicare, divergence 0.75×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (6.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 7.9× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Cascade Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 81 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,496 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,847 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $1,298 | 1.0× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,313 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,307 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,193 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,194 | unverified |
| CT scan, pelvis CPT Code: 72192 | $1,180 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,131 | 1.2× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,134 | unverified |
| CT scan, sinuses CPT Code: 70486 | $1,086 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $1,052 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,010 | 1.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $927 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $634 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $549 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $496 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $506 | unverified |
| X-ray, lower back CPT Code: 72110 | $438 | unverified |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $373 | 2.0× |
| X-ray, pelvis CPT Code: 72170 | $289 | unverified |
| X-ray, chest (two views) CPT Code: 71046 | $260 | unverified |
| X-ray, neck (cervical spine) CPT Code: 72040 | $279 | unverified |
| X-ray, shoulder CPT Code: 73030 | $284 | unverified |
| X-ray, hand CPT Code: 73130 | $302 | unverified |
Audit a Bill or Quote at Cascade Medical Center (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($2,496) Beats Your Bill
Cascade Medical Center's published 45 CFR § 180 self-pay cash rate is $2,496 (vs. $2,496 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($3,328) is $2,880 above the denoised Fair BaseRate ($448) and 9.3× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Cascade Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Cascade Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-04-02·cap_corrective_action
CAP Request
Recorded - 2026-01-21·cap_corrective_action
CAP Request
Recorded - 2025-12-19·cap_corrective_action
CAP Request
Recorded - 2025-09-16·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Cascade Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.