CMS Price Transparency Data

X-ray, pelvis

Facility: Cascade Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $75
Cash Discount Price: $224
vs. Medicare Baseline: 0.70x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Cascade Medical Center is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $224. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.70x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$224

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

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $224 (210%)

Insurance Median: $75 (70%)

Cash: $224 (210% of Medicare)

Ins. Median: $75 (70% 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	$10 - $427	9%
Asuris Northwest Health	$10 - $427	9%
Blue Cross Blue Shield	$10 - $360	9%
Humana	$10 - $274	9%
Medicare (plans)	$10 - $274	9%
Molina Healthcare Of Washington Mcr Adv	$10 - $277	9%
Wellcare Health Plan Inc Mcr Adv	$10 - $296	9%
Tricare	$29	27%
First Choice Health Network	$44	41%
Pacificsource Health Plans	$44	41%
Medicaid / KanCare	$46 - $253	43%
Community Health Plan Of Wa Mcd Rep	$48 - $264	45%
Coordinated Care Of Wa Mcd Rep	$48 - $264	45%
Molina Healthcare Of Washington Mcd Rep	$48 - $264	45%
Washington Department Of Labor And Industry	$53	50%
Ambetter / Centene	$54 - $297	51%
Community Health Plan Of Wa	$56 - $308	52%
Cigna	$72 - $396	67%

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 $224.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

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 72170.
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.