CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Cascade Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $392
Cash Discount Price: $1,023
vs. Medicare Baseline: 1.61x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Cascade Medical Center is $392. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,023. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.61x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$1,023

Average discount available for prompt cash payment at this facility.

Insurance Median

$392

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $1,023 (420%)

Insurance Median: $392 (161%)

Cash: $1,023 (420% of Medicare)

Ins. Median: $392 (161% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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.

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	$72 - $1,911	30%
Asuris Northwest Health	$72 - $1,911	30%
Blue Cross Blue Shield	$72 - $1,613	30%
Humana	$72 - $1,228	30%
Medicare (plans)	$72 - $1,228	30%
Molina Healthcare Of Washington Mcr Adv	$72 - $1,240	30%
Wellcare Health Plan Inc Mcr Adv	$78 - $1,326	32%
Tricare	$214	88%
Medicaid / KanCare	$232 - $1,134	95%
Community Health Plan Of Wa Mcd Rep	$242 - $1,181	99%
Coordinated Care Of Wa Mcd Rep	$242 - $1,181	99%
Molina Healthcare Of Washington Mcd Rep	$242 - $1,181	99%
Ambetter / Centene	$273 - $1,331	112%
Community Health Plan Of Wa	$283 - $1,380	116%
First Choice Health Network	$312	128%
Pacificsource Health Plans	$312	128%
Cigna	$364 - $1,775	149%
Washington Department Of Labor And Industry	$398	163%

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 $1,023.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

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 73721.
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.