CMS Price Transparency Data

CT scan, pelvis

Facility: Cascade Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $336
Cash Discount Price: $1,154
vs. Medicare Baseline: 3.15x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Cascade Medical Center is $336. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,154. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.15x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$1,154

Average discount available for prompt cash payment at this facility.

Insurance Median

$336

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,154 (1080%)

Insurance Median: $336 (315%)

Cash: $1,154 (1080% of Medicare)

Ins. Median: $336 (315% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 315% of the Medicare baseline (a markup of 215%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$57 - $2,248	53%
Asuris Northwest Health	$57 - $2,248	53%
Blue Cross Blue Shield	$57 - $1,898	53%
Humana	$57 - $1,444	53%
Medicare (plans)	$57 - $1,444	53%
Molina Healthcare Of Washington Mcr Adv	$57 - $1,459	53%
Wellcare Health Plan Inc Mcr Adv	$61 - $1,560	57%
Tricare	$140	131%
First Choice Health Network	$195	183%
Pacificsource Health Plans	$195	183%
Medicaid / KanCare	$207 - $1,334	194%
Community Health Plan Of Wa Mcd Rep	$215 - $1,390	201%
Coordinated Care Of Wa Mcd Rep	$215 - $1,390	201%
Molina Healthcare Of Washington Mcd Rep	$215 - $1,390	201%
Ambetter / Centene	$243 - $1,566	228%
Community Health Plan Of Wa	$252 - $1,624	236%
Washington Department Of Labor And Industry	$260	243%
Cigna	$324 - $2,088	303%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,154.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cascade Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72192.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.