CMS Price Transparency Data

X-ray, hand

Facility: Cascade Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $61
Cash Discount Price: $210
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Cascade Medical Center is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $210. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.69x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$210

Average discount available for prompt cash payment at this facility.

Insurance Median

$61

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $210 (236%)

Insurance Median: $61 (69%)

Cash: $210 (236% of Medicare)

Ins. Median: $61 (69% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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	$10 - $412	11%
Asuris Northwest Health	$10 - $412	11%
Blue Cross Blue Shield	$10 - $348	11%
Humana	$10 - $265	11%
Medicare (plans)	$10 - $265	11%
Molina Healthcare Of Washington Mcr Adv	$10 - $267	11%
Wellcare Health Plan Inc Mcr Adv	$11 - $286	12%
Medicaid / KanCare	$36 - $245	40%
Community Health Plan Of Wa Mcd Rep	$37 - $255	42%
Coordinated Care Of Wa Mcd Rep	$37 - $255	42%
Molina Healthcare Of Washington Mcd Rep	$37 - $255	42%
Tricare	$38	43%
Ambetter / Centene	$42 - $287	47%
Community Health Plan Of Wa	$44 - $298	49%
First Choice Health Network	$45	51%
Pacificsource Health Plans	$45	51%
Cigna	$56 - $383	63%
Washington Department Of Labor And Industry	$67 - $70	75%

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 $210.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

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 73130.
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.