CMS Price Transparency Data

X-ray, lower back

Facility: Cascade Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $102
Cash Discount Price: $359
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Cascade Medical Center is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $359. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.95x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$359

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

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: $359 (336%)

Insurance Median: $102 (95%)

Cash: $359 (336% of Medicare)

Ins. Median: $102 (95% 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.

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	$14 - $702	13%
Asuris Northwest Health	$14 - $702	13%
Blue Cross Blue Shield	$14 - $593	13%
Humana	$14 - $451	13%
Medicare (plans)	$14 - $451	13%
Molina Healthcare Of Washington Mcr Adv	$15 - $456	14%
Wellcare Health Plan Inc Mcr Adv	$16 - $487	15%
Tricare	$54	51%
Medicaid / KanCare	$63 - $417	59%
Community Health Plan Of Wa Mcd Rep	$66 - $434	62%
Coordinated Care Of Wa Mcd Rep	$66 - $434	62%
Molina Healthcare Of Washington Mcd Rep	$66 - $434	62%
First Choice Health Network	$68	64%
Pacificsource Health Plans	$68	64%
Ambetter / Centene	$74 - $489	69%
Community Health Plan Of Wa	$77 - $507	72%
Washington Department Of Labor And Industry	$98	92%
Cigna	$99 - $652	93%

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 $359.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

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 72110.
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.