How many shoppable procedure prices are published for Cascade Medical Center?

Cascade Medical Center in Leavenworth, WA currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Cascade Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Cascade Medical Center's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 9 Beds · rural Updated: 5/15/2026

Cascade Medical Center

817 Commercial Street, Leavenworth, WA 98826 · 102 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.17×vs. Fair Market Price

Typical commercial prices here are +17% above the fair benchmark (1.17×) even after accounting for local nurse/doctor wages and patient complexity.

85/100 · Corroborated

85/100Self-Pay Cash Beats Insurance 37% of the Time

File Completeness85

Price Logic81

Peer Alignment74

Clean Billing87

Real Cash Discount100

Regional Benchmark Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +61% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Cascade Medical Center prices routine shoppable procedures at 1.7× Medicare (median 0.98× Fair BaseRate) while upper-quartile commercial rates jump +61% to 1.58× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#30 of 58 in WA · 50th State Percentile#1,931 of 3,385 in U.S. · 57th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.87× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 37% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (55.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.17× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.98× Fair BaseRate (1.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.58×) jump +61% above the median procedure ratio (Q50 0.98×)
Consolidated metro market (HHI 9,275) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.7× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.59× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+61% Upper Tail

Q25 0.87× · Q50 0.98× · Q75 1.58×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.0× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.6× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

37% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Cascade Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Rabies immune globulin HCPCS Code: `90375`	$1,606	$1,606	$322	5.0×
MRI, lower back (no contrast) CPT Code: `72148`	$1,907	$1,355	$338	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,498	$1,082	$583	1.9×
Colonoscopy with biopsy CPT Code: `45380`	$1,808	$1,053	$1,256	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,242	$868	$169	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$1,344	$726	$987	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,581	$605	$511	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$662	$478	$272	1.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,243	$484	$981	0.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,888	$432	$448	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,164	$385	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$1,023	$392	$369	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,707	$339	$258	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,566	$355	$303	1.2×
Neurobehavioral status check CPT Code: `96116`	$426	$323	$231	1.4×
CT scan, sinuses CPT Code: `70486`	$926	$295	$166	1.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,229	$282	$167	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,184	$289	$242	1.2×
CT scan, pelvis CPT Code: `72192`	$1,154	$260	$163	1.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$744	$252	$168	1.5×
X-ray, foot CPT Code: `73630`	$215	$268	$92	unverified
Family therapy session CPT Code: `90847`	$364	$263	$173	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$303	$219	$126	1.7×
Ultrasound, pelvis CPT Code: `76856`	$303	$219	$130	1.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$289	$211	$134	1.6×
CT scan, head (no contrast) CPT Code: `70450`	$893	$216	$160	1.4×
Blood transfusion CPT Code: `36430`	$310	$224	$498	0.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$325	$235	$181	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$312	$226	$86	unverified
Speech therapy (group session) CPT Code: `92508`	$226	$226	$27	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$294	$230	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$341	$189	$123	1.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$229	$182	$132	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$230	$148	$87	1.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$222	$160	$166	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$195	$152	$185	0.8×
X-ray, ankle CPT Code: `73610`	$377	$167	$93	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$184	$133	$64	unverified
X-ray, lower back CPT Code: `72110`	$359	$98	$112	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$137	$107	$123	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$111	$80	$38	2.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$111	$80	$40	2.0×
Prosthetic fitting and training CPT Code: `97761`	$111	$80	$45	1.8×
Orthotic fitting and training CPT Code: `97760`	$111	$80	$51	1.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$114	$86	$86	1.0×
Psychological testing evaluation CPT Code: `96136`	$141	$102	$128	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$126	$91	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,147	$1,147	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$154	$111	$203	0.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$101	$77	$38	2.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$113	$85	$56	1.5×
Drug screening test HCPCS Code: `G0480`	$82	$102	$116	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$177	$91	$111	0.8×
Physical therapy (gait training) CPT Code: `97116`	$82	$60	$33	1.8×
Group therapy session CPT Code: `90853`	$103	$74	$100	0.7×
Pneumococcal vaccine HCPCS Code: `90732`	$100	$78	$140	0.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$96	$69	$35	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$108	$78	$34	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$70	$51	$14	3.6×
Extended office visit (prolonged) HCPCS Code: `G2212`	$74	$55	$33	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$238	$75	$93	0.8×
X-ray, hip CPT Code: `73502`	$199	$73	$93	0.8×
X-ray, shoulder CPT Code: `73030`	$254	$65	$92	0.7×
X-ray, chest (two views) CPT Code: `71046`	$165	$64	$93	0.7×
X-ray, hand CPT Code: `73130`	$210	$64	$93	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$37	$28	$25	1.1×
Blood test, creatinine (kidney) CPT Code: `82565`	$58	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$137	$14	$14	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$52	$38	$39	1.0×
Blood test, vitamin D CPT Code: `82306`	$171	$30	$31	1.0×
X-ray, chest (single view) CPT Code: `71045`	$151	$49	$92	0.5×
X-ray, pelvis CPT Code: `72170`	$224	$54	$110	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$70	$53	$201	0.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$116	$11	$11	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$41	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$54	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$54	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$77	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$86	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$75	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$54	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$82	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$54	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$95	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$67	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$98	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$138	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$154	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$155	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$157	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$185	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$127	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$114	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$92	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$111	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$65	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$58	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$37	$2	$3	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$35	$25	$48	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$34	$25	$49	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$35	$25	$49	0.5×
Blood antibody screen CPT Code: `86850`	$118	$10	$46	0.2×

Showing top 25 high-impact procedures of 102 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 55.9%

Audit a Bill or Quote at Cascade Medical Center (Zero PHI Required)

CMS CCN: 501313

CPT 90375

Select Procedure to Audit:

Fair BaseRate™ $322

Medicare Rate $275

Self-Pay Cash $1,606

Insurer Median $1,606

1. Amount on Your Bill or Quote ($) Pre-filled with Cascade Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $1,121 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,121

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (55.9% of gross = $1,121).

Step 2 · Cash vs. Insurance Arbitrage Save $401 Paying Cash

Self-Pay Cash Rate ($1,606) Beats Your Bill

Cascade Medical Center's published 45 CFR § 180 self-pay cash rate is $1,606 (vs. $1,606 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$1,685 Above Fair BaseRate

Negotiate Toward $322 Fair BaseRate ($275 Medicare)

Your bill ($2,007) is $1,685 above the denoised Fair BaseRate ($322) and 7.3× the $275 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 910856279

Filing Period: 199704

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (55.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite65/100

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Cascade Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-28·warning_notice
Warning Notice
Recorded
2025-12-18·administrative_or_closure
Closure Notice
Recorded
2025-09-16·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Cascade Medical Center.

Price Index: 0.95× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Health Net

-62.8%

PacificSource

-47.8%

Median Household Income$78,306U.S. Census ACS

Local Uninsured Share11.3%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 85/100 · Corroborated CMS CCN 501313 EIN 910856279

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 501313) ↗ Verify IRS Form 990 (EIN 910856279) ↗ CMS HCRIS Cost Reports ↗

Published MRF File910856279_chelan-county-public-hospital-district-no-1_standardcharges.csv

Publication / Vintage5/15/2026 · 36.74 MB

Validated Rate Rows3,696 (CMS v3.0.0)

File Integrity Digest97e341e5854671f6d8e5…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy