Cascade Medical Center
LeavenworthChelan CountyCritical Access Hospitals
Lung cancer screening CT scan (low dose)
Quality: not rated by CMSEarliest available date: call (509) 548-5815
What you may pay
- With insurance from an employer or private plan
- $1,843 to $1,926
- First Choice Health Network: Default $1,843 Higher than typical
- AMBETTER FROM COORDINATED CARE: Default $1,926 Higher than typical
- Paying yourself (cash price)
- $2,458 Higher than typical
Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).
Bills to expect
A procedure usually brings several bills, each from whoever did that part of your care. Here is what to expect, with what Traditional Medicare allows for each doctor’s part in this area (Washington outside King County) and an estimate for private plans.
| Bill | Who sends it | How likely | Status | Traditional Medicare allows | Private plans (estimate) |
|---|---|---|---|---|---|
| Hospital's fee | The hospital | Expected | Published by the hospital: the prices above | — | — |
| Radiologist | The radiology group | Expected | The hospital's price file includes this fee, so it may already be in the prices above | $50 | $59 to $90 |
| Ordering doctor's visit | Your doctor | Possible | Billed separately; not priced | — | — |
What you’d pay for these bills
You pay about $369 of about $1,843 billed to your plan.
How each bill comes to you
Hospital's fee
- The provider's charge
- Not published
- Allowed amount
- $1,843
- Your plan pays
- $1,475
- Your coinsurance
- $369
- You owe
- $369
- All bills: allowed amounts
- $1,843
- Your plan pays
- $1,475
- You owe in all
- $369
Who owes what, and when you might owe more
- The insurance adjustment Written off
An in-network provider agrees to accept your plan's allowed amount. The difference between its charge and that amount is written off: you don't owe it, and it shouldn't appear on your bill.
- Deductible You pay
What you pay each year before your plan starts sharing costs. It is applied to bills in the order your plan processes them, so the first bill can take all of it.
- Copay You pay
A fixed amount for a kind of care, such as a hospital stay or a surgeon's visit. Your plan's summary of benefits says whether it applies before or after the deductible, and whether a stay's copay is per day.
- Coinsurance You pay
Your percentage of the allowed amount after the deductible, such as 20%.
- Out-of-pocket maximum Your plan pays
Once your deductible, copays and coinsurance for the year reach it, your plan pays 100% of covered in-network care for the rest of the plan year.
- Each provider bills separately You pay
The hospital, surgeon, anesthesia group, radiologist and pathologist each send their own claim and their own bill. All of them count toward the same deductible and yearly maximum.
- Out of network and surprise bills It depends
A provider outside your plan's network can bill you the difference between its charge and what your plan pays (a balance bill). It can't for emergency care, or when anesthesia, radiology, pathology, an assistant surgeon or a hospital doctor treats you at an in-network hospital: under federal law (the No Surprises Act) and, for Washington-regulated plans and self-funded plans that opt in, RCW 48.49, those groups cannot balance bill you. Your deductible and coinsurance still apply, at in-network amounts.
- Not covered, or no prior authorization It depends
If your plan decides a service isn't covered, or it needed prior authorization that wasn't approved, the plan pays nothing for it and the provider may bill you. Ask the provider to get prior authorization before your care. If an in-network provider didn't get it, the provider's contract may stop it billing you: ask your plan before you pay.
- A second insurance It depends
If you have a second plan, the first plan pays first and the second may then pay some or all of your share. These estimates use one plan only.
- Wait for the Explanation of Benefits You pay
After each claim your insurer sends an Explanation of Benefits (EOB) with the allowed amount, what it paid and what you may owe. It is not a bill. Pay a provider's bill only when it matches the EOB's “you may owe” amount, and ask the provider or insurer about any difference.
- Help from the hospital It depends
Washington hospitals must give free or discounted care based on income, including deductibles and coinsurance for insured patients: free up to 200% or 300% of the federal poverty level depending on the hospital, with discounts above that (RCW 70.170). You can apply after you get a bill. It covers the hospital's bill; doctor groups that bill separately have their own policies.
- If you pay yourself instead You pay
You can choose not to use your insurance and pay the cash price; then nothing counts toward your deductible. Ask each provider for a Good Faith Estimate. If a bill is $400 or more above it, you can dispute it within 120 days.
Get it confirmed before your care
The hospital, each doctor’s group and your insurer can each confirm their part in writing. Here is a request for each one, ready to send from your own email, and what to say if you’d rather call. Nothing you do here is saved.
Coming: CareNavIQ will be able to send these for you, follow up, and tell you when everything is confirmed, with your permission.
Cascade Medical Center
Request to send
Subject: Estimate request: lung cancer screening ct scan (low dose) at Cascade Medical Center Hello, I am planning a lung cancer screening ct scan (low dose) (billing code CPT 71271) at Cascade Medical Center. Under Washington law (RCW 70.01.030), I am asking for a written estimate of the hospital's charges, with the billing codes you plan to use. Your price list includes the fee for the radiologist: please include it in the estimate. Name: [YOUR NAME] Date of birth: [DATE OF BIRTH] Insurance: [PLAN NAME], member ID [MEMBER ID] Planned date: [DATE, IF KNOWN] Thank you.
If you call. Call (509) 548-5815 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my lung cancer screening ct scan (low dose)."
72 published prices, grouped by who each price applies to.
Cash price 3 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $2,098 | Hospital’s fee | Ct thorax lung cancer-LDCT | — | Outpatient | — |
| $2,098 | Hospital’s fee | CT low dose lung cancer screen | — | Inpatient or outpatient | — |
| $360 | Radiologist’s fee | CT low dose lung cncr scrn rd | — | Inpatient or outpatient | — |
List price (before discounts) 3 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $2,622 | Hospital’s fee | Ct thorax lung cancer-LDCT | — | Outpatient | — |
| $2,622 | Hospital’s fee | CT low dose lung cancer screen | — | Inpatient or outpatient | — |
| $450 | Radiologist’s fee | CT low dose lung cncr scrn rd | — | Inpatient or outpatient | — |
Commercial insurance 6 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AMBETTER FROM COORDINATED CARE | Default | $1,644 | Hospital’s fee | CT low dose lung cancer screen | other | Inpatient or outpatient | — |
| AMBETTER FROM COORDINATED CARE | Default | $1,644 | Hospital’s fee | Ct thorax lung cancer-LDCT | other | Outpatient | — |
| AMBETTER FROM COORDINATED CARE | Default | $282 | Radiologist’s fee | CT low dose lung cncr scrn rd | other | Inpatient or outpatient | — |
| First Choice Health Network | Default | $1,573 | Hospital’s fee | Ct thorax lung cancer-LDCT | fee schedule | Outpatient | — |
| First Choice Health Network | Default | $1,573 | Hospital’s fee | CT low dose lung cancer screen | fee schedule | Inpatient or outpatient | — |
| First Choice Health Network | Default | $270 | Radiologist’s fee | CT low dose lung cncr scrn rd | fee schedule | Inpatient or outpatient | — |
Medicare Advantage 21 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| Aetna | Medicare Advantage | $1,516 | Hospital’s fee | CT low dose lung cancer screen | other | Inpatient or outpatient | — |
| Aetna | Medicare Advantage | $1,516 | Hospital’s fee | Ct thorax lung cancer-LDCT | other | Outpatient | — |
| Aetna | Medicare Advantage | $56.43 | Radiologist’s fee | CT low dose lung cncr scrn rd | other | Inpatient or outpatient | — |
| Asuris Northwest Health | Medicare Advantage | $1,465 | Hospital’s fee | CT low dose lung cancer screen | other | Inpatient or outpatient | — |
| Asuris Northwest Health | Medicare Advantage | $1,465 | Hospital’s fee | Ct thorax lung cancer-LDCT | other | Outpatient | — |
| Asuris Northwest Health | Medicare Advantage | $56.43 | Radiologist’s fee | CT low dose lung cncr scrn rd | other | Inpatient or outpatient | — |
| Blue Cross of WA Premera | Medicare Advantage | $1,516 | Hospital’s fee | CT low dose lung cancer screen | other | Inpatient or outpatient | — |
| Blue Cross of WA Premera | Medicare Advantage | $1,516 | Hospital’s fee | Ct thorax lung cancer-LDCT | other | Outpatient | — |
| Blue Cross of WA Premera | Medicare Advantage | $56.43 | Radiologist’s fee | CT low dose lung cncr scrn rd | other | Inpatient or outpatient | — |
| Cigna | Medicare Advantage | $2,192 | Hospital’s fee | CT low dose lung cancer screen | percent of total billed charges | Inpatient or outpatient | — |
| Cigna | Medicare Advantage | $2,192 | Hospital’s fee | Ct thorax lung cancer-LDCT | percent of total billed charges | Outpatient | — |
| Cigna | Medicare Advantage | $376 | Radiologist’s fee | CT low dose lung cncr scrn rd | percent of total billed charges | Inpatient or outpatient | — |
| Humana | Medicare Advantage | $1,516 | Hospital’s fee | CT low dose lung cancer screen | other | Inpatient or outpatient | — |
| Humana | Medicare Advantage | $1,516 | Hospital’s fee | Ct thorax lung cancer-LDCT | other | Outpatient | — |
| Humana | Medicare Advantage | $56.43 | Radiologist’s fee | CT low dose lung cncr scrn rd | other | Inpatient or outpatient | — |
| Molina Healthcare of Washington MCR Adv | Default | $1,531 | Hospital’s fee | CT low dose lung cancer screen | other | Inpatient or outpatient | — |
| Molina Healthcare of Washington MCR Adv | Default | $1,531 | Hospital’s fee | Ct thorax lung cancer-LDCT | other | Outpatient | — |
| Molina Healthcare of Washington MCR Adv | Default | $57.00 | Radiologist’s fee | CT low dose lung cncr scrn rd | other | Inpatient or outpatient | — |
| Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $1,637 | Hospital’s fee | CT low dose lung cancer screen | other | Inpatient or outpatient | — |
| Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $1,637 | Hospital’s fee | Ct thorax lung cancer-LDCT | other | Outpatient | — |
| Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $60.94 | Radiologist’s fee | CT low dose lung cncr scrn rd | other | Inpatient or outpatient | — |
Medicaid managed care 12 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| Cigna | Medicaid Replacement | $2,192 | Hospital’s fee | CT low dose lung cancer screen | percent of total billed charges | Inpatient or outpatient | — |
| Cigna | Medicaid Replacement | $2,192 | Hospital’s fee | Ct thorax lung cancer-LDCT | percent of total billed charges | Outpatient | — |
| Cigna | Medicaid Replacement | $376 | Radiologist’s fee | CT low dose lung cncr scrn rd | percent of total billed charges | Inpatient or outpatient | — |
| Community Health Plan of WA MCD Rep | Medicaid Replacement | $1,459 | Hospital’s fee | CT low dose lung cancer screen | percent of total billed charges | Inpatient or outpatient | — |
| Community Health Plan of WA MCD Rep | Medicaid Replacement | $1,459 | Hospital’s fee | Ct thorax lung cancer-LDCT | percent of total billed charges | Outpatient | — |
| Community Health Plan of WA MCD Rep | Medicaid Replacement | $250 | Radiologist’s fee | CT low dose lung cncr scrn rd | percent of total billed charges | Inpatient or outpatient | — |
| Coordinated Care of WA MCD Rep | Default | $1,459 | Hospital’s fee | Ct thorax lung cancer-LDCT | percent of total billed charges | Outpatient | — |
| Coordinated Care of WA MCD Rep | Default | $1,459 | Hospital’s fee | CT low dose lung cancer screen | percent of total billed charges | Inpatient or outpatient | — |
| Coordinated Care of WA MCD Rep | Default | $250 | Radiologist’s fee | CT low dose lung cncr scrn rd | percent of total billed charges | Inpatient or outpatient | — |
| Molina Healthcare of Washington MCD Rep | Default | $1,459 | Hospital’s fee | Ct thorax lung cancer-LDCT | percent of total billed charges | Outpatient | — |
| Molina Healthcare of Washington MCD Rep | Default | $1,459 | Hospital’s fee | CT low dose lung cancer screen | percent of total billed charges | Inpatient or outpatient | — |
| Molina Healthcare of Washington MCD Rep | Default | $250 | Radiologist’s fee | CT low dose lung cncr scrn rd | percent of total billed charges | Inpatient or outpatient | — |
Medicaid (state program) 3 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| Medicaid Washington | Default | $1,401 | Hospital’s fee | CT low dose lung cancer screen | percent of total billed charges | Inpatient or outpatient | — |
| Medicaid Washington | Default | $1,401 | Hospital’s fee | Ct thorax lung cancer-LDCT | percent of total billed charges | Outpatient | — |
| Medicaid Washington | Default | $240 | Radiologist’s fee | CT low dose lung cncr scrn rd | percent of total billed charges | Inpatient or outpatient | — |
Medicare (traditional) 3 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| Medicare A WA JF | Default | $1,516 | Hospital’s fee | Ct thorax lung cancer-LDCT | other | Outpatient | — |
| Medicare A WA JF | Default | $1,516 | Hospital’s fee | CT low dose lung cancer screen | other | Inpatient or outpatient | — |
| Medicare A WA JF | Default | $56.43 | Radiologist’s fee | CT low dose lung cncr scrn rd | other | Inpatient or outpatient | — |
Other government program 3 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| Tricare West | Default | $145 | Hospital’s fee | CT low dose lung cancer screen | fee schedule | Inpatient or outpatient | — |
| Tricare West | Default | $145 | Hospital’s fee | Ct thorax lung cancer-LDCT | fee schedule | Outpatient | — |
| Tricare West | Default | $145 | Radiologist’s fee | CT low dose lung cncr scrn rd | fee schedule | Inpatient or outpatient | — |
Unknown 18 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| Aetna | Default | $2,360 | Hospital’s fee | Ct thorax lung cancer-LDCT | other | Outpatient | — |
| Aetna | Default | $2,360 | Hospital’s fee | CT low dose lung cancer screen | other | Inpatient or outpatient | — |
| Aetna | Default | $405 | Radiologist’s fee | CT low dose lung cncr scrn rd | other | Inpatient or outpatient | — |
| Asuris Northwest Health | Default | $2,360 | Hospital’s fee | CT low dose lung cancer screen | percent of total billed charges | Inpatient or outpatient | — |
| Asuris Northwest Health | Default | $2,360 | Hospital’s fee | Ct thorax lung cancer-LDCT | percent of total billed charges | Outpatient | — |
| Asuris Northwest Health | Default | $405 | Radiologist’s fee | CT low dose lung cncr scrn rd | percent of total billed charges | Inpatient or outpatient | — |
| Blue Cross of WA Premera | Default | $1,993 | Hospital’s fee | CT low dose lung cancer screen | percent of total billed charges | Inpatient or outpatient | — |
| Blue Cross of WA Premera | Default | $1,993 | Hospital’s fee | Ct thorax lung cancer-LDCT | percent of total billed charges | Outpatient | — |
| Blue Cross of WA Premera | Default | $342 | Radiologist’s fee | CT low dose lung cncr scrn rd | percent of total billed charges | Inpatient or outpatient | — |
| Cigna | Default | $2,192 | Hospital’s fee | Ct thorax lung cancer-LDCT | percent of total billed charges | Outpatient | — |
| Cigna | Default | $2,192 | Hospital’s fee | CT low dose lung cancer screen | percent of total billed charges | Inpatient or outpatient | — |
| Cigna | Default | $376 | Radiologist’s fee | CT low dose lung cncr scrn rd | percent of total billed charges | Inpatient or outpatient | — |
| Community Health Plan of WA | Default | $1,704 | Hospital’s fee | Ct thorax lung cancer-LDCT | percent of total billed charges | Outpatient | — |
| Community Health Plan of WA | Default | $1,704 | Hospital’s fee | CT low dose lung cancer screen | percent of total billed charges | Inpatient or outpatient | — |
| Community Health Plan of WA | Default | $293 | Radiologist’s fee | CT low dose lung cncr scrn rd | percent of total billed charges | Inpatient or outpatient | — |
| PacificSource Health Plans | Default | $1,573 | Hospital’s fee | Ct thorax lung cancer-LDCT | fee schedule | Outpatient | — |
| PacificSource Health Plans | Default | $1,573 | Hospital’s fee | CT low dose lung cancer screen | fee schedule | Inpatient or outpatient | — |
| PacificSource Health Plans | Default | $270 | Radiologist’s fee | CT low dose lung cncr scrn rd | fee schedule | Inpatient or outpatient | — |
Doctors here who do this procedure
No doctor affiliated with Cascade Medical Center billed Traditional Medicare for this often enough for CMS to publish it (11 or more patients a year). That doesn’t mean no one here does it. See all doctors and practices for this procedure.
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