CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Cascade Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $75
Cash Discount Price: $238
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Cascade Medical Center is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.84x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$238

Average discount available for prompt cash payment at this facility.

Insurance Median

$75

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: $238 (268%)

Insurance Median: $75 (84%)

Cash: $238 (268% of Medicare)

Ins. Median: $75 (84% 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	$12 - $459	13%
Asuris Northwest Health	$12 - $459	13%
Blue Cross Blue Shield	$12 - $388	13%
Humana	$12 - $295	13%
Medicare (plans)	$12 - $295	13%
Molina Healthcare Of Washington Mcr Adv	$12 - $298	13%
Wellcare Health Plan Inc Mcr Adv	$13 - $318	15%
Tricare	$41	46%
Medicaid / KanCare	$45 - $272	51%
Community Health Plan Of Wa Mcd Rep	$47 - $284	53%
Coordinated Care Of Wa Mcd Rep	$47 - $284	53%
Molina Healthcare Of Washington Mcd Rep	$47 - $284	53%
First Choice Health Network	$49	55%
Pacificsource Health Plans	$49	55%
Ambetter / Centene	$53 - $320	60%
Community Health Plan Of Wa	$55 - $332	62%
Cigna	$70 - $426	79%
Washington Department Of Labor And Industry	$75	84%

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 $238.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

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 72040.
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.