CMS Price Transparency Data

X-ray, shoulder

Facility: Cascade Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $69
Cash Discount Price: $254
vs. Medicare Baseline: 0.78x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Cascade Medical Center is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $254. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.78x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$254

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

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: $254 (286%)

Insurance Median: $69 (78%)

Cash: $254 (286% of Medicare)

Ins. Median: $69 (78% 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 - $500	11%
Asuris Northwest Health	$10 - $500	11%
Blue Cross Blue Shield	$10 - $423	11%
Humana	$10 - $321	11%
Medicare (plans)	$10 - $321	11%
Molina Healthcare Of Washington Mcr Adv	$10 - $325	11%
Wellcare Health Plan Inc Mcr Adv	$11 - $347	12%
Tricare	$36	40%
First Choice Health Network	$40	45%
Pacificsource Health Plans	$40	45%
Medicaid / KanCare	$42 - $297	47%
Community Health Plan Of Wa Mcd Rep	$44 - $309	49%
Coordinated Care Of Wa Mcd Rep	$44 - $309	49%
Molina Healthcare Of Washington Mcd Rep	$44 - $309	49%
Ambetter / Centene	$50 - $349	56%
Community Health Plan Of Wa	$51 - $361	57%
Washington Department Of Labor And Industry	$65	73%
Cigna	$66 - $465	74%

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 $254.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

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 73030.
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.